{"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":216658,"network_name":["IN NETWORK","LONGHORN HEALTH SOLUTIONS INC NETWORK","OUT OF NETWORK"],"provider_groups":[{"npi":[1275813388],"tin":{"type":"ein","value":"800569438","business_name":"HOLMES PROSTHETIC CENTER LLC"}},{"npi":[1700453966],"tin":{"type":"ein","value":"863477214","business_name":"RGV MEDICAL SUPPLY LLC"}},{"npi":[1154747038],"tin":{"type":"ein","value":"464474251","business_name":"ENREMED LLC"}},{"npi":[1750917423],"tin":{"type":"ein","value":"844181741","business_name":"LEGGETT PROSTHETICS LLC"}},{"npi":[1194846717],"tin":{"type":"ein","value":"141893101","business_name":"ELEAZAR LOPEZ"}},{"npi":[1962459537],"tin":{"type":"ein","value":"770633673","business_name":"RESPIRTECH"}},{"npi":[1427468099],"tin":{"type":"ein","value":"465531661","business_name":"ANGELIC MEDICAL DESIGNS LLC"}},{"npi":[1760459010],"tin":{"type":"ein","value":"232788758","business_name":"CASH FLOW SOLUTIONS LLC DBA LYMPHA PRESS"}},{"npi":[1730397175],"tin":{"type":"ein","value":"203589861","business_name":"WOUND CARE CONCEPTS INC"}},{"npi":[1528560539],"tin":{"type":"ein","value":"824511752","business_name":"AMOR Y ESPERANZA DME LLC"}},{"npi":[1841360278],"tin":{"type":"ein","value":"593339037","business_name":"GATE CITY MEDICAL EQUIPMENT INC"}},{"npi":[1437776754],"tin":{"type":"ein","value":"851178479","business_name":"CENTRAL TEXAS PROSTHETICS LLC"}},{"npi":[1972711968],"tin":{"type":"ein","value":"201057189","business_name":"EXPRESS RX LLC"}},{"npi":[1467953653],"tin":{"type":"ein","value":"821598050","business_name":"LONE STAR PROSTHETICS LLC"}},{"npi":[1306313283],"tin":{"type":"ein","value":"463429568","business_name":"SKILLED MOBILITY LLC"}},{"npi":[1942474812],"tin":{"type":"ein","value":"260432205","business_name":"GABEL DISTRIBUTORS LLC"}},{"npi":[1003383019],"tin":{"type":"ein","value":"830825703","business_name":"SAN JOSE DME LLC"}},{"npi":[1104314665],"tin":{"type":"ein","value":"474995890","business_name":"BCW GROUP LLC"}},{"npi":[1780201079],"tin":{"type":"ein","value":"851231600","business_name":"CAPSTONE ORTHOTICS AND PROSTHETICS"}},{"npi":[1982261244],"tin":{"type":"ein","value":"841848949","business_name":"SASON MEDICAL PRODUCTS LLC"}},{"npi":[1124124953],"tin":{"type":"ein","value":"134263570","business_name":"BIOTAB LLC"}},{"npi":[1942504709],"tin":{"type":"ein","value":"352445500","business_name":"BONAGE MEDICAL SUPPLY"}},{"npi":[1063575579],"tin":{"type":"ein","value":"752828885","business_name":"LANDMARK HEALTHCARE INC"}},{"npi":[1396139333],"tin":{"type":"ein","value":"472995455","business_name":"MI AMANECER DME LLC,"}},{"npi":[1881698439],"tin":{"type":"ein","value":"650936904","business_name":"LIBERATOR MEDICAL SUPPLY INC"}},{"npi":[1962439232],"tin":{"type":"ein","value":"204679564","business_name":"WOUND CARE RESOURCES INC"}},{"npi":[1356465751],"tin":{"type":"ein","value":"383208314","business_name":"LYTLE MEDICAL TECHNOLOGIES INC"}},{"npi":[1801130620],"tin":{"type":"ein","value":"461406470","business_name":"GULF COAST PROSTHETICS"}},{"npi":[1124201629],"tin":{"type":"ein","value":"421484921","business_name":"C & R MEDICAL"}},{"npi":[1013065887],"tin":{"type":"ein","value":"850480301","business_name":"HME SPECIALISTS"}},{"npi":[1568822302],"tin":{"type":"ein","value":"475258792","business_name":"PHARMAVIDA RX"}},{"npi":[1639232374],"tin":{"type":"ein","value":"841470762","business_name":"FLEX ORTHOPEDIC SERVICES LP"}},{"npi":[1013071141],"tin":{"type":"ein","value":"721231246","business_name":"SOIGNE HEALTH CARE MANAGEMENT"}},{"npi":[1588028005],"tin":{"type":"ein","value":"810778920","business_name":"ALAMO DIABETEX INC"}},{"npi":[1538511910],"tin":{"type":"ein","value":"453690573","business_name":"STAR MEDICAL SPECIALTIES"}},{"npi":[1881825008],"tin":{"type":"ein","value":"263929006","business_name":"MISSION MEDICAL SUPPLY"}},{"npi":[1083626295],"tin":{"type":"ein","value":"830387809","business_name":"TOTALCARE COMPREHENSIVE HOME HEALTH SUPPLY"}},{"npi":[1740665074],"tin":{"type":"ein","value":"812533409","business_name":"NEW LIFE INDUSTRIES LLC,"}},{"npi":[1396849543],"tin":{"type":"ein","value":"742345332","business_name":"COMMUNITY MEDICAL RENTAL & SUPPLY INC,"}},{"npi":[1821030909],"tin":{"type":"ein","value":"411732920","business_name":"ELECTROMED INC"}},{"npi":[1740389139],"tin":{"type":"ein","value":"743012422","business_name":"MED-CARE PHARMACY"}},{"npi":[1255449310],"tin":{"type":"ein","value":"562330780","business_name":"GATESCO MEDICAL SUPPLIES"}},{"npi":[1558754069],"tin":{"type":"ein","value":"465338662","business_name":"CENTURY ORTHOTICS AND MEDICAL EQUIPMENT LLC"}},{"npi":[1205230596],"tin":{"type":"ein","value":"900652116","business_name":"GAZELLE HEALTHCARE SOLUTIONS, LLC"}},{"npi":[1265766018],"tin":{"type":"ein","value":"202724107","business_name":"TEXAS ORTHOTICS INC"}},{"npi":[1568651131],"tin":{"type":"ein","value":"208715566","business_name":"ADVANCED ORTHOPEDIC DESIGNS"}},{"npi":[1841536943],"tin":{"type":"ein","value":"461570237","business_name":"ACCEL CUSTOM REHAB LLC"}},{"npi":[1265958904],"tin":{"type":"ein","value":"205179677","business_name":"SLEEP MANAGEMENT LLC"}},{"npi":[1427251933],"tin":{"type":"ein","value":"260154838","business_name":"GK DREAMS DME"}},{"npi":[1033462767],"tin":{"type":"ein","value":"460947074","business_name":"MEDICAL CITY BRACE AND LIMB PLLC"}},{"npi":[1982067633],"tin":{"type":"ein","value":"475489256","business_name":"CANTUS PHARMACY"}},{"npi":[1912340100],"tin":{"type":"ein","value":"461797409","business_name":"PULMONARY PREVENTION PLUS LLC"}},{"npi":[1801417522],"tin":{"type":"ein","value":"844560163","business_name":"BEES MEDICAL EQUIPMENT AND SUPPLIES LLC"}},{"npi":[1972697068],"tin":{"type":"ein","value":"680574833","business_name":"IMS EXPERTS LLC"}},{"npi":[1548367063],"tin":{"type":"ein","value":"753221011","business_name":"PRISM MEDICAL PRODUCTS LLC"}},{"npi":[1891728697],"tin":{"type":"ein","value":"562222382","business_name":"AEROFLOW HEALTHCARE"}},{"npi":[1942329990],"tin":{"type":"ein","value":"562646098","business_name":"TWENTY FOUR HOUR DEPENDABLE MEDICAL SUPPLIES LLC"}},{"npi":[1992891238],"tin":{"type":"ein","value":"651120748","business_name":"COMFORT MEDICAL LLC"}},{"npi":[1205101656],"tin":{"type":"ein","value":"320355700","business_name":"PROSTHETICS INC UNLIMITED"}},{"npi":[1740515782],"tin":{"type":"ein","value":"320288792","business_name":"OTTO BOCK ORTHOPEDIC SERVICES"}},{"npi":[1649797358],"tin":{"type":"ein","value":"814822814","business_name":"ADVANCED DURABLE MEDICAL EQUIPMENT SUPPLY INC"}},{"npi":[1992866164],"tin":{"type":"ein","value":"742979887","business_name":"SOUTH TEXAS DME"}},{"npi":[1720034275],"tin":{"type":"ein","value":"760579628","business_name":"MAXWELL MEDICAL SERVICES INC"}},{"npi":[1376542837],"tin":{"type":"ein","value":"412062056","business_name":"GOOD NIGHT MEDICAL OF TEXAS INC"}},{"npi":[1679553267],"tin":{"type":"ein","value":"752863160","business_name":"TRIBUTE MEDICAL SUPPLY,"}},{"npi":[1023177466],"tin":{"type":"ein","value":"760402315","business_name":"MED SHOP PLUS INC"}},{"npi":[1619510716],"tin":{"type":"ein","value":"834430991","business_name":"MEDICAL SUPPLIES OF USA"}},{"npi":[1366585705],"tin":{"type":"ein","value":"223882238","business_name":"JOBERN MEDICAL SERVICES"}},{"npi":[1922408921],"tin":{"type":"ein","value":"271165973","business_name":"PATIENT SOLUTIONS LLC"}},{"npi":[1447211032,1609837202,1649231267,1871554477],"tin":{"type":"ein","value":"752622932","business_name":"RHEMA MEDICAL - IRVING"}},{"npi":[1700889227],"tin":{"type":"ein","value":"650670195","business_name":"UNITED STATES MEDICAL SUPPLY INC"}},{"npi":[1538408323],"tin":{"type":"ein","value":"461022478","business_name":"OPSOLUTIONS LLC"}},{"npi":[1861727240],"tin":{"type":"ein","value":"861649441","business_name":"MAVERICK MEDICAL SUPPLY LLC"}},{"npi":[1295858736],"tin":{"type":"ein","value":"311502439","business_name":"WMK INC DBA MOBILITYWORKS"}},{"npi":[1922660851],"tin":{"type":"ein","value":"841767686","business_name":"ONE LOVE DME LLC"}},{"npi":[1023103983],"tin":{"type":"ein","value":"371488177","business_name":"OPTIMA HEALTH SERVICES"}},{"npi":[1366921702],"tin":{"type":"ein","value":"831204751","business_name":"OCULAR PROSTHETIC DESIGNS LLC"}},{"npi":[1811227721],"tin":{"type":"ein","value":"510557568","business_name":"TOP SOURCE MEDICAL SUPPLIES & EQUIPMENTS"}},{"npi":[1275992869],"tin":{"type":"ein","value":"811306895","business_name":"BLESSINGS MEDICAL EQUIPMENT AND SUPPLIES"}},{"npi":[1760728745],"tin":{"type":"ein","value":"461456038","business_name":"AUTREY PHARMACY 1"}},{"npi":[1801808985],"tin":{"type":"ein","value":"710983044","business_name":"GRACE REHAB INC"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 LT  ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0032","description":"2 LT  ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 LT  ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0032","description":"2 LT  ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 LT  BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0033","description":"2 LT  BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 LT  BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0033","description":"2 LT  BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4145F","description":"2 PLUS  ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LACTATED RINGERS INFUSION TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7121","description":"5 PCT  DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7121","description":"5 PCT  DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":null,"billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2025F","description":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2025F","description":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9VHPV VACC 2/3 DOSE SCHED IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AC BR EPIS PT NU/REFILL RX ABX 30 D PRIOR EPS DT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2177","description":"AC BR EPIS PT NU/REFILL RX ABX 30 D PRIOR EPS DT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AC BR EPIS PT NU/REFILL RX ABX 30 D PRIOR EPS DT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2177","description":"AC BR EPIS PT NU/REFILL RX ABX 30 D PRIOR EPS DT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AC5 ADVANCED WOUND SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2020","description":"AC5 ADVANCED WOUND SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AC5 ADVANCED WOUND SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2020","description":"AC5 ADVANCED WOUND SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACAPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4325","description":"ACAPATCH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.582,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6593","description":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6593","description":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2599","description":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2599","description":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.9065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.9065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE ARB INHIBITOR THERAPY RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4009F","description":"ACE ARB INHIBITOR THERAPY RX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB THER NOT PRS DUR MST PER RSN NT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1203","description":"ACE INHIB/ARB THER NOT PRS DUR MST PER RSN NT GV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB THER NOT PRS DUR MST PER RSN NT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1203","description":"ACE INHIB/ARB THER NOT PRS DUR MST PER RSN NT GV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB/ARNI TH PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2092","description":"ACE INHIB/ARB/ARNI TH PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB/ARNI TH PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2092","description":"ACE INHIB/ARB/ARNI TH PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2096","description":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2096","description":"ACE INHIB/ARB/ARNI TH WAS NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAP PRESCRIBED DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1200","description":"ACE INHIBITOR/ARB THERAP PRESCRIBED DUR MSMT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAP PRESCRIBED DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1200","description":"ACE INHIBITOR/ARB THERAP PRESCRIBED DUR MSMT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4311","description":"ACESSO PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4680","description":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4680","description":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.781,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE PVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1337","description":"ACUTE PVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE PVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1337","description":"ACUTE PVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1333","description":"ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1333","description":"ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER/EXT PACING LEAD/NEUROSTIMULATOR LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"C1883","description":"ADAPTER/EXT PACING LEAD/NEUROSTIMULATOR LEAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER/EXT PACING LEAD/NEUROSTIMULATOR LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1883","description":"ADAPTER/EXT PACING LEAD/NEUROSTIMULATOR LEAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTOR/EXT PACING LEAD/NEUROSTIMULATOR LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"C1883","description":"ADAPTOR/EXT PACING LEAD/NEUROSTIMULATOR LEAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3956","description":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3956","description":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2861","description":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.9845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2861","description":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.9845,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3891","description":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3891","description":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.3885,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3775F","description":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1570","description":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1570","description":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.1595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.582,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OF DS/GA EA SUBQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9223","description":"ADMIN OF DS/GA EA SUBQ 15 MIN INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN OF DS/GA EA SUBQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9223","description":"ADMIN OF DS/GA EA SUBQ 15 MIN INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9243","description":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9243","description":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1502","description":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9222","description":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9222","description":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9239","description":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9239","description":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9230","description":"ADMINISTRATION OF NITROUS OXIDE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1503","description":"ADMN MED NOT ORAL  and  OR INJ HLTH AGENCY/PROF VST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"T1503","description":"ADMN MED NOT ORAL  and  OR INJ HLTH AGENCY/PROF VST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0717T","description":"ADRC THER PRTL THICKNESS RC TEAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0717T","description":"ADRC THER PRTL THICKNESS RC TEAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0718T","description":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0718T","description":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DAY CENTER 8-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0530","description":"ADULT DAY CENTER 8-HOUR UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DAY CENTER 8-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0530","description":"ADULT DAY CENTER 8-HOUR UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4544","description":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.8385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4544","description":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.8385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.8385,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0053","description":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0053","description":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0001","description":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0001","description":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0055","description":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0055","description":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1530","description":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.2855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1530","description":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.2855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.2855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0197","description":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0197","description":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE ELEVATOR FOR HEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0370","description":"AIR PRESSURE ELEVATOR FOR HEEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE ELEVATOR FOR HEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0370","description":"AIR PRESSURE ELEVATOR FOR HEEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0186","description":"AIR PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE 0 DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3302F","description":"AJCC STAGE 0 DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IA DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3303F","description":"AJCC STAGE IA DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IB DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3304F","description":"AJCC STAGE IB DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IC DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3305F","description":"AJCC STAGE IC DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IIA DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3306F","description":"AJCC STAGE IIA DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IIB DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3307F","description":"AJCC STAGE IIB DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IIC DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3308F","description":"AJCC STAGE IIC DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IIIA DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3309F","description":"AJCC STAGE IIIA DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IIIB DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3310F","description":"AJCC STAGE IIIB DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IIIC DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3311F","description":"AJCC STAGE IIIC DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IV DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3312F","description":"AJCC STAGE IV DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IVB DOC'D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3313F","description":"AJCC STAGE IVB DOC'D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IVC DOC'D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3314F","description":"AJCC STAGE IVC DOC'D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2035","description":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2035","description":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0012","description":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0012","description":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1006","description":"ALCOHOL  and OR SUBSTANCE ABS SRVC FAM/COUPLE CNSL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0001","description":"ALCOHOL AND/OR DRUG ASSESSMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0001","description":"ALCOHOL AND/OR DRUG ASSESSMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0047","description":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0047","description":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4245","description":"ALCOHOL WIPES PER BOX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.222,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and /SUBSTNC ABS SRVC TX PLAN DVLP and /MOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1007","description":"ALCOHOL and /SUBSTNC ABS SRVC TX PLAN DVLP and /MOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 /SUBSTNC ABS SRVC TX PLAN DVLP and /MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1007","description":"ALCOHOL and /SUBSTNC ABS SRVC TX PLAN DVLP and /MOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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  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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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  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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9280","description":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2172","description":"ALL INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2172","description":"ALL INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0060","description":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0060","description":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGEN PER CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4212","description":"ALLOGEN PER CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGEN PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4212","description":"ALLOGEN PER CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A0390","description":"ALS MILEAGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0781","description":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0781","description":"AMB INFUS PUMP 1/MX CHANNL W/ADMN EQP WORN BY PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0779","description":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0779","description":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS/GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4306","description":"AMERICAN AMNION AC PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4306","description":"AMERICAN AMNION AC PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4305","description":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4305","description":"AMERICAN AMNION AC TRI-LAYER PER SQUARE CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4307","description":"AMERICAN AMNION PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMERICAN AMNION PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4307","description":"AMERICAN AMNION PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4774","description":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCYTE PLUS PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4242","description":"AMNIOCYTE PLUS PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCYTE PLUS PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4242","description":"AMNIOCYTE PLUS PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4139","description":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4211","description":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4211","description":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 1 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4334","description":"AMNIOPLAST 1 PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 1 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4334","description":"AMNIOPLAST 1 PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4335","description":"AMNIOPLAST 2 PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOPLAST 2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4335","description":"AMNIOPLAST 2 PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4245","description":"AMNIOTEXT PER CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4245","description":"AMNIOTEXT PER CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4249","description":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4249","description":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1180","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1180","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1190","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1190","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1172","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1172","description":"AMPUTEE WHLCHAIR; DTACHBL ARMS W/O FOOT/LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1200","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1200","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1170","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1170","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1171","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1171","description":"AMPUTEE WHLCHAIR; FIX FULL ARMS W/O FOOT/LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1311","description":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1311","description":"ANAPHYLAXIS D/T VACCINE ON/BEFORE DATE OF ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0061","description":"ANESTHESIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0061","description":"ANESTHESIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S0613","description":"ANNUAL GYN EXAM CLIN BREAST EXAM W/O PELV EVAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0656T","description":"ANT LUMBAR/TLMBR VRT BODY TETHRG  LT 7VRT SEG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT LUMBAR/TLMBR VRT BODY TETHRG 8 Plus VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0657T","description":"ANT LUMBAR/TLMBR VRT BODY TETHRG 8 Plus VRT SEG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT LUMBAR/TLMBR VRT BODY TETHRG 8 Plus VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0657T","description":"ANT LUMBAR/TLMBR VRT BODY TETHRG 8 Plus VRT SEG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90581","description":"ANTHRAX VACCINE SUBCUTANEOUS/IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J8597","description":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"STANDARD","negotiated_rate":118.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1189.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"STANDARD","negotiated_rate":118.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.9305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1189.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1189.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITHOUT RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0618","description":"APNEA MONITOR WITHOUT RECORDING FEATURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITHOUT RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0618","description":"APNEA MONITOR WITHOUT RECORDING FEATURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97014","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97014","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7997","description":"APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIC 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF DESENSITIZING MEDICAMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9910","description":"APPLICATION OF DESENSITIZING MEDICAMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREDS ANITOX VITMIN RX D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4007F","description":"AREDS ANITOX VITMIN RX D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS 1ST MOTOR THRESHOLD DETER 1ST TX D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0890T","description":"ARHFCMRIGTBS 1ST MOTOR THRESHOLD DETER 1ST TX D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS 1ST MOTOR THRESHOLD DETER 1ST TX D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0890T","description":"ARHFCMRIGTBS 1ST MOTOR THRESHOLD DETER 1ST TX D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS SBSQ MOTOR THRESHLD REDETER PR TX D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0892T","description":"ARHFCMRIGTBS SBSQ MOTOR THRESHLD REDETER PR TX D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS SBSQ MOTOR THRESHLD REDETER PR TX D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0892T","description":"ARHFCMRIGTBS SBSQ MOTOR THRESHLD REDETER PR TX D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS SUBSEQUENT TREATMENT DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0891T","description":"ARHFCMRIGTBS SUBSEQUENT TREATMENT DAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARHFCMRIGTBS SUBSEQUENT TREATMENT DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0891T","description":"ARHFCMRIGTBS SUBSEQUENT TREATMENT DAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0572","description":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0572","description":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4189","description":"ARTACENT AC 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4189","description":"ARTACENT AC 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4336","description":"ARTACENT C PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4216","description":"ARTACENT CORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4216","description":"ARTACENT CORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4337","description":"ARTACENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VELOS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4338","description":"ARTACENT VELOS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VELOS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4338","description":"ARTACENT VELOS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4336","description":"ARTECENT C PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4336","description":"ARTECENT C PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4337","description":"ARTECENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTECENT TRIDENT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4337","description":"ARTECENT TRIDENT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7870","description":"ARTHROCENTESIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPJS W/WITHOUT INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7506","description":"ARTHRODESIS IPJS W/WITHOUT INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2112","description":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7872","description":"ARTHROSCOPY-DIAGNOSIS WITH OR WITHOUT BIOPSY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4213","description":"ASCENT 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4213","description":"ASCENT 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTD EMBRYO HATCHING MICROTQS ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89253","description":"ASSTD EMBRYO HATCHING MICROTQS ANY METH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ED NON-PHYSICIAN PROVIDER PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9441","description":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ED NON-PHYSICIAN PROVIDER PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9441","description":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0062","description":"AUDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0062","description":"AUDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8692","description":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2002.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2002.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2040.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2040.5255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8692","description":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2002.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2002.2665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2040.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2040.5255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0731T","description":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0731T","description":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD DATA PREP and TRNSMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0879T","description":"AUGMNT ALYS CH CT IMG DATA ILD DATA PREP and TRNSMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD DATA PREP and TRNSMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0879T","description":"AUGMNT ALYS CH CT IMG DATA ILD DATA PREP and TRNSMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD PHYS/QHP I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0880T","description":"AUGMNT ALYS CH CT IMG DATA ILD PHYS/QHP I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD PHYS/QHP I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0880T","description":"AUGMNT ALYS CH CT IMG DATA ILD PHYS/QHP I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD W/CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0878T","description":"AUGMNT ALYS CH CT IMG DATA ILD W/CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD W/CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0878T","description":"AUGMNT ALYS CH CT IMG DATA ILD W/CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD WO CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0877T","description":"AUGMNT ALYS CH CT IMG DATA ILD WO CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMNT ALYS CH CT IMG DATA ILD WO CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0877T","description":"AUGMNT ALYS CH CT IMG DATA ILD WO CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUSCULTATION HEART PERFORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2003F","description":"AUSCULTATION HEART PERFORM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0606","description":"AUTO EXT DEFIB W/INTGR ECG ANALY GARMENT TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86890","description":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4215","description":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4215","description":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0144","description":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol wipes per box","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4245","description":"Alcohol wipes per box","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol wipes per box","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4245","description":"Alcohol wipes per box","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.222,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MEAS VAS 1 YR PO GT 3.0 DEMS CHNG  LT 5 PNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2139","description":"BACK PAIN MEAS VAS 1 YR PO GT 3.0 DEMS CHNG  LT 5 PNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MEAS VAS 1 YR PO GT 3.0 DEMS CHNG 5 PNT OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2138","description":"BACK PAIN MEAS VAS 1 YR PO GT 3.0 DEMS CHNG 5 PNT OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MEAS VAS 3 MON PO GT 3.0 CHG IMPV 5 PNT OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2137","description":"BACK PAIN MEAS VAS 3 MON PO GT 3.0 CHG IMPV 5 PNT OR LT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MEAS VAS 3 MON PO LT or equal to 3.0 IMPRV 5.0 P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2136","description":"BACK PAIN MEAS VAS 3 MON PO LT or equal to 3.0 IMPRV 5.0 P","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 1 YR PO  GT 3.0 IMPV  LT 5.0 PNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2139","description":"BACK PAIN MSR VAS 1 YR PO  GT 3.0 IMPV  LT 5.0 PNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 1 YR PO  GT 3.0 IMPV  LT 5.0 PNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2139","description":"BACK PAIN MSR VAS 1 YR PO  GT 3.0 IMPV  LT 5.0 PNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 1 YR PO  LT or equal to  3.0 IMPV 5.0 PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2138","description":"BACK PAIN MSR VAS 1 YR PO  LT or equal to  3.0 IMPV 5.0 PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 1 YR PO  LT or equal to  3.0 IMPV 5.0 PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2138","description":"BACK PAIN MSR VAS 1 YR PO  LT or equal to  3.0 IMPV 5.0 PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 3MO PO GT 3.0 IMPRV PO IMPV LT 5 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2137","description":"BACK PAIN MSR VAS 3MO PO GT 3.0 IMPRV PO IMPV LT 5 PTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 3MO PO GT 3.0 IMPRV PO IMPV LT 5 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2137","description":"BACK PAIN MSR VAS 3MO PO GT 3.0 IMPRV PO IMPV LT 5 PTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS/3 MO PO  LT ./ Equal to  3.0 IMPR 5.0 PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2136","description":"BACK PAIN MSR VAS/3 MO PO  LT ./ Equal to  3.0 IMPR 5.0 PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS/3 MO PO  LT ./ Equal to  3.0 IMPR 5.0 PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2136","description":"BACK PAIN MSR VAS/3 MO PO  LT ./ Equal to  3.0 IMPR 5.0 PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREP CDVR/LIV DONOR UTERINE ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0668T","description":"BACKBENCH PREP CDVR/LIV DONOR UTERINE ALLOGRAFT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREP CDVR/LIV DONOR UTERINE ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0668T","description":"BACKBENCH PREP CDVR/LIV DONOR UTERINE ALLOGRAFT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61640","description":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61640","description":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE MRS  GT  2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1236","description":"BASELINE MRS  GT  2","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE MRS  GT  2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1236","description":"BASELINE MRS  GT  2","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1550","description":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1550","description":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.8165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0240","description":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1258.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":932.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0240","description":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1258.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":932.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":932.282,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT ART ANST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0670T","description":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT ART ANST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT ART ANST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0670T","description":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT ART ANST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT VEN ANST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0669T","description":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT VEN ANST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT VEN ANST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0669T","description":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT VEN ANST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0315","description":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0315","description":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.747,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9887","description":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9887","description":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9886","description":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9886","description":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELLACELL HD OR SUREDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4220","description":"BELLACELL HD OR SUREDERM PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELLACELL HD OR SUREDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4220","description":"BELLACELL HD OR SUREDERM PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"STANDARD","negotiated_rate":35.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"STANDARD","negotiated_rate":35.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BENESCH BOOT PAIR CHILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3213","description":"BENESCH BOOT PAIR CHILD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BENESCH BOOT PAIR INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3212","description":"BENESCH BOOT PAIR INFANT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BENESCH BOOT PAIR JUNIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3214","description":"BENESCH BOOT PAIR JUNIOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.166,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4006F","description":"BETA-BLOCKER THERAPY RX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.2175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.2175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.2175,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7624","description":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":null,"billing_code":"1130F","description":"BK PAIN  AND  FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COMPONENT OR PRODUCT NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9099","description":"BLOOD COMPONENT OR PRODUCT NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COMPONENT OR PRODUCT NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9099","description":"BLOOD COMPONENT OR PRODUCT NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4772","description":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4772","description":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.5995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.5995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD KETONE TEST OR REAGENT STRIP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4252","description":"BLOOD KETONE TEST OR REAGENT STRIP EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD KETONE TEST OR REAGENT STRIP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4252","description":"BLOOD KETONE TEST OR REAGENT STRIP EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESS Gëñ 140 90 MM HG2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3000F","description":"BLOOD PRESS Gëñ 140 90 MM HG2","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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  GT  140 90 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3002F","description":"BLOOD PRESSURE  GT  140 90 MMHG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.744,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1281","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1281","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PUMP FOR HEMODIALYSIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1620","description":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1117.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.7725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1620","description":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1117.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1117.7725,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1287","description":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1287","description":"BMI DOC BELOW NORMAL PARAMETERS  and  F/U PLAN DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1286","description":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1286","description":"BMI DOC OS NML PARAM F/U PL NOT CMPL DOC MED RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1276","description":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1276","description":"BMI DOC OS NRML PARAM NO F/U PLAN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1296","description":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1296","description":"BMI DOC WI NML PARAMETERS  and  NO F/U PLAN IS REQD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1293","description":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1293","description":"BMI IS DOC ABV NML PARAMETERS AND F/U PLAN DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1297","description":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1297","description":"BMI NOT DOC D/T MED RSN/PT REFUSAL OF HT/WT MSMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1314","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1314","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSTY 1 OR GT  SITES DUAL PHOTON ABSORPTIOMETR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78351","description":"BONE DENSTY 1 OR GT  SITES DUAL PHOTON ABSORPTIOMETR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90288","description":"BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"78609","description":"BRAIN IMAGING PET PERFUSION EVALUATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8039","description":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.7555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.4265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.4265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.4265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.9085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.9085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC RF DSTRJ PULM NRV BI MAINSTEM BRONCHI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0781T","description":"BRNCHSC RF DSTRJ PULM NRV BI MAINSTEM BRONCHI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC RF DSTRJ PULM NRV BI MAINSTEM BRONCHI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0781T","description":"BRNCHSC RF DSTRJ PULM NRV BI MAINSTEM BRONCHI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC RF DSTRJ PULM NRV UNI MAINSTEM BRONCHUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0782T","description":"BRNCHSC RF DSTRJ PULM NRV UNI MAINSTEM BRONCHUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC RF DSTRJ PULM NRV UNI MAINSTEM BRONCHUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0782T","description":"BRNCHSC RF DSTRJ PULM NRV UNI MAINSTEM BRONCHUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7511","description":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7633","description":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7633","description":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Benesch boot pair child","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3213","description":"Benesch boot pair child","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Benesch boot pair child","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3213","description":"Benesch boot pair child","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.7545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Benesch boot pair infant","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3212","description":"Benesch boot pair infant","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Benesch boot pair infant","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3212","description":"Benesch boot pair infant","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Benesch boot pair junior","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3214","description":"Benesch boot pair junior","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Benesch boot pair junior","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3214","description":"Benesch boot pair junior","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.166,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABERGOLINE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8515","description":"CABERGOLINE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABERGOLINE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8515","description":"CABERGOLINE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1364","description":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1364","description":"CALCULATED 10-YR ASCVD RS OF  Equal to  20 PCT  DUR PERF P","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0894T","description":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0894T","description":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0746T","description":"CAR FCL ABLTJ RADJ ARRHYT CONV LOCLZJ  and  MAPG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9472","description":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0716T","description":"CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0716T","description":"CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0063","description":"CARDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0063","description":"CARDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERT-DEFIB OTH THAN SINGLE/DUAL CHAMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1882","description":"CARDIOVERT-DEFIB OTH THAN SINGLE/DUAL CHAMB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"93895","description":"CAROTID INTIMA MEDIA  AND  CAROTID ATHEROMA EVAL BI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUM INTRAVASC LES PREP DEV BLAD SH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1600","description":"CATHETER TRANSLUM INTRAVASC LES PREP DEV BLAD SH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90756","description":"CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90674","description":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90674","description":"CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus  CELL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4214","description":"CELLESTA CORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4214","description":"CELLESTA CORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4185","description":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4185","description":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0064","description":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0064","description":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD  AND  RVWD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TRACTION DEVICE INFLATABLE AIR BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0856","description":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TRACTION DEVICE INFLATABLE AIR BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0856","description":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TRACTION EQUIP NOT RQR ADD STAND/FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0855","description":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TRACTION EQUIP NOT RQR ADD STAND/FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0855","description":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND/FRAME","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0457","description":"CHEST SHELL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.0625,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMP DX UR INF W/I 3 DAYS DX PHARYNGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2097","description":"CHILD COMP DX UR INF W/I 3 DAYS DX PHARYNGITIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98943","description":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT  REGION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0065","description":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0065","description":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINACALCET ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0604","description":"CINACALCET ORAL 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINACALCET ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0604","description":"CINACALCET ORAL 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9933","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9933","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9932","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9932","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9935","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9935","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9934","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9934","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2179","description":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2179","description":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2178","description":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2178","description":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2178","description":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP;","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2180","description":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2180","description":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0045","description":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0045","description":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0046","description":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0046","description":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0066","description":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0066","description":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0038","description":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0038","description":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE DEVICE VASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1760","description":"CLOSURE DEVICE VASCULAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1265","description":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1265","description":"CMS ME FORM 2728 FOR DIALYSIS PTS:INIT FORM CMPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S0257","description":"CNSL and DISCUSS ADV DIRCTV/EOL CARE PT and /SURROGATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX FLOWABLE AMNION PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4230","description":"COGENEX FLOWABLE AMNION PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX FLOWABLE AMNION PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4230","description":"COGENEX FLOWABLE AMNION PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0402T","description":"COLLAGEN CROSS-LINKING CORNEA and PACHYMETRY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7921","description":"COLLECTION  AND  APPLIC AUTO BLOOD CONCENTRATE PROD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0322","description":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0322","description":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0736T","description":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0736T","description":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0285","description":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1315","description":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1315","description":"COLORECTAL CANCER SCR RSLT NOT DOC and REV; RSN NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1277","description":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1277","description":"COLORECTAL CANCER SCREENING RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0327","description":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0327","description":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX 1ST TNDSC DILAT RX BALO CATH CLN STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0885T","description":"COLSC FLX 1ST TNDSC DILAT RX BALO CATH CLN STRIX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX 1ST TNDSC DILAT RX BALO CATH CLN STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0885T","description":"COLSC FLX 1ST TNDSC DILAT RX BALO CATH CLN STRIX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0637","description":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2126.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2126.6895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0637","description":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2126.6895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2126.6895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0170","description":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0170","description":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0171","description":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0171","description":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0165","description":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0165","description":"COMMODE CHAIR MOBILE/STATIONARY W/DETACHBLE ARMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE SEAT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0968","description":"COMMODE SEAT WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMODE SEAT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0968","description":"COMMODE SEAT WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPACT TRAVEL HEMODIALYZER SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1635","description":"COMPACT TRAVEL HEMODIALYZER SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPACT TRAVEL HEMODIALYZER SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1635","description":"COMPACT TRAVEL HEMODIALYZER SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.595,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8950","description":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2298","description":"COMPLEX REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2298","description":"COMPLEX REHAB PWR WC ACC PWR SEAT EL SYS ANY TYP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7840","description":"CONDYLECTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0895T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0895T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0896T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0896T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"76140","description":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULTATION W MEDICAL HEALTH CARE PROFESSIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9311","description":"CONSULTATION W MEDICAL HEALTH CARE PROFESSIONAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9311","description":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9311","description":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":43.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.2965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6208","description":"CONTACT LAYER STERL  GT  48 SQ IN EACH DRESSING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":43.2965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.2965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.7625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6206","description":"CONTACT LAYER STERL 16 SQ IN/LESS EA DRESSING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.7625,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL UNIT ELEC BOWEL IRRIGATION/EVAC SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0350","description":"CONTROL UNIT ELEC BOWEL IRRIGATION/EVAC SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0730","description":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0730","description":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVRT NEPHROSTMY CATH TO NEPHROURETRL CATH PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7547","description":"CONVRT NEPHROSTMY CATH TO NEPHROURETRL CATH PERQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STROKE PREV CULTIVT  Plus OUTCOM MIPS VAL PATHW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0054","description":"COORD STROKE PREV CULTIVT  Plus OUTCOM MIPS VAL PATHW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STROKE PREV CULTIVT  Plus OUTCOM MIPS VAL PATHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0054","description":"COORD STROKE PREV CULTIVT  Plus OUTCOM MIPS VAL PATHW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9592","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9592","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4240","description":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4240","description":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-FOUR OR MORE TEETH TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7297","description":"CORTICOTOMY-FOUR OR MORE TEETH TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7297","description":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7297","description":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-ONE TO THREE TEETH TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7296","description":"CORTICOTOMY-ONE TO THREE TEETH TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7296","description":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7296","description":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"2022","billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0732","description":"CRANIAL ELECTROTHERAPY STIMULATION SYST ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1040","description":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1040","description":"CRANIAL REMOLDING ORTHOTIC PED RIGID CUSTOM FAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.25,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTX ORAL CAVITY TEMP REGULATED FLU COOLING SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0881T","description":"CRTX ORAL CAVITY TEMP REGULATED FLU COOLING SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTX ORAL CAVITY TEMP REGULATED FLU COOLING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0881T","description":"CRTX ORAL CAVITY TEMP REGULATED FLU COOLING SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0118","description":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYO-CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4237","description":"CRYO-CORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYO-CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4237","description":"CRYO-CORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2617","description":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PL COR A CATH PL BPG AG IL and /FA AG NS BIL/IPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7520","description":"CT PL COR A CATH PL BPG AG IL and /FA AG NS BIL/IPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL OOCYTE/EMBRYO  LT  4 D CO-CULT OCYTE/EMBRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89251","description":"CUL OOCYTE/EMBRYO  LT  4 D CO-CULT OCYTE/EMBRY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1316","description":"CURRENT TOBACCO NON-USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1316","description":"CURRENT TOBACCO NON-USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1150","description":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1150","description":"CURRENT/PRIOR LVEF LT or equal to  40 PCT /DOC MOD/SEV LEF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1258","description":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1258","description":"CVD RISK ASSESSMENT PERFORMED HAVE DOC CR SCORE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1257","description":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1257","description":"CVD RISK ASSMT NOT PERFORMED/INC REASON NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1594","description":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3913.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3913.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1594","description":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.3325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3913.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3913.312,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chest shell","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0457","description":"Chest shell","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chest shell","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0457","description":"Chest shell","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.0625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.0625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.0625,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECIS MKR ADVNCD PLAN DOC D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1080F","description":"DECIS MKR ADVNCD PLAN DOC D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEDAT GEN ANESTHESIA-EA SUBSQT 15 MIN INCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9223","description":"DEEP SEDAT GEN ANESTHESIA-EA SUBSQT 15 MIN INCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP SEDAT/GEN ANESTHESIA-EA SUBSQT 15 MIN INCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9223","description":"DEEP SEDAT/GEN ANESTHESIA-EA SUBSQT 15 MIN INCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP SEDATION GENERAL ANESTHESIA-1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9222","description":"DEEP SEDATION GENERAL ANESTHESIA-1ST 15 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP SEDATION/GENERAL ANESTHESIA-1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9222","description":"DEEP SEDATION/GENERAL ANESTHESIA-1ST 15 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1600","description":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1600","description":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.2375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.2375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90584","description":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90584","description":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90587","description":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90587","description":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - CARE COORDINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9992","description":"DENTAL CASE MANAGEMENT - CARE COORDINATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - CARE COORDINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9992","description":"DENTAL CASE MANAGEMENT - CARE COORDINATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9993","description":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9993","description":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9991","description":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9991","description":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9994","description":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9994","description":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTISTRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0067","description":"DENTISTRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTISTRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0067","description":"DENTISTRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESS ANXIETY APATHY  and  PSYCHOSIS NOT ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2122","description":"DEPRESS ANXIETY APATHY  and  PSYCHOSIS NOT ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESS ANXIETY APATHY  and  PSYCHOSIS NOT ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2122","description":"DEPRESS ANXIETY APATHY  and  PSYCHOSIS NOT ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION ANXIETY APATHY  and  PSYCHOSIS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2121","description":"DEPRESSION ANXIETY APATHY  and  PSYCHOSIS ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION ANXIETY APATHY  and  PSYCHOSIS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2121","description":"DEPRESSION ANXIETY APATHY  and  PSYCHOSIS ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND FM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4313","description":"DERMABIND FM PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4284","description":"DERMABIND SL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4284","description":"DERMABIND SL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4343","description":"DERMACYTE AC MATRIX AMNIOTIC MEMB ALLO PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4000","description":"DERMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4000","description":"DERMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 (HEMADY) ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8541","description":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 (HEMADY) ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8541","description":"DEXAMETHASONE (HEMADY) ORAL 0.25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4001","description":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4001","description":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1221","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1221","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;NO RET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1220","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1220","description":"DIL RET E EX INT OPH/OPTM/AI INT DOC and REV;RET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4540F","description":"DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4860","description":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4860","description":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9975,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4305","description":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":13.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.6045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4305","description":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML OR GT -HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":13.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.6045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0352","description":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0352","description":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4306","description":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4306","description":"DISPOSABL DRUG DEL SYS FLOW RATE  LT 50 ML PER HOUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.9145,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYS CIRC  PERM EVAR EMB/OCCL MAIN CIRC/ANY AV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7515","description":"DLYS CIRC  PERM EVAR EMB/OCCL MAIN CIRC/ANY AV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA  AND  CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA  AND  CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1185","description":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1185","description":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INHIBITR TX HLD  and CCS OR IMS RX OR ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1183","description":"DOC IMM CP INHIBITR TX HLD  and CCS OR IMS RX OR ADM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INHIBITR TX HLD  and CCS OR IMS RX OR ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1183","description":"DOC IMM CP INHIBITR TX HLD  and CCS OR IMS RX OR ADM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL DEFINE EGFR  and  UACR PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1189","description":"DOC KIDNEY HLTH EVL DEFINE EGFR  and  UACR PERFORMED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL DEFINE EGFR  and  UACR PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1189","description":"DOC KIDNEY HLTH EVL DEFINE EGFR  and  UACR PERFORMED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR  and UACR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1190","description":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR  and UACR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR  and UACR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1190","description":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR  and UACR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1201","description":"DOC MED REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1201","description":"DOC MED REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASN NO PRSC ACE INHIB/ARB/ARNI TH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2093","description":"DOC MED REASN NO PRSC ACE INHIB/ARB/ARNI TH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON FOR NOT ADMINIST PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1178","description":"DOC MED REASON FOR NOT ADMINIST PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON FOR NOT ADMINIST PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1178","description":"DOC MED REASON FOR NOT ADMINIST PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1215","description":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1215","description":"DOC MED RSN FOR NOT DOC  and  REVIEWING SP RESULTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ON DAILY ASP/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2128","description":"DOC MED RSN NOT ON DAILY ASP/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ON DAILY ASP/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2128","description":"DOC MED RSN NOT ON DAILY ASP/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON NOT ADMINISTER TD OR TDAP VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1172","description":"DOC MEDICAL REASON NOT ADMINISTER TD OR TDAP VAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON NOT ADMINISTER TD OR TDAP VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1172","description":"DOC MEDICAL REASON NOT ADMINISTER TD OR TDAP VAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1238","description":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1238","description":"DOC NO 2ND RZV DUR PER PRD D/T REC 2-6 MO B/W DS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEG NEURO COND ALS/PARKINSON'S DX TM E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1112","description":"DOC PT DX DEG NEURO COND ALS/PARKINSON'S DX TM E","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEG NEURO COND ALS/PARKINSON'S DX TM E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1112","description":"DOC PT DX DEG NEURO COND ALS/PARKINSON'S DX TM E","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEG NEURO COND DX TM BEFORE/DUR EOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1127","description":"DOC PT DX DEG NEURO COND DX TM BEFORE/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEG NEURO COND DX TM BEFORE/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1127","description":"DOC PT DX DEG NEURO COND DX TM BEFORE/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2151","description":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2151","description":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1122","description":"DOC PT DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1122","description":"DOC PT DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1298","description":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1298","description":"DOC PT PREG ANYTM DUR MSMT PRD PRI and INCL CURR ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NO PRSC ACE INHIB/ARB/ARNI THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2094","description":"DOC PT REASON NO PRSC ACE INHIB/ARB/ARNI THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NO PRSC ACE INHIB/ARB/ARNI THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2094","description":"DOC PT REASON NO PRSC ACE INHIB/ARB/ARNI THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1194","description":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1194","description":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1107","description":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1109","description":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1107","description":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1131","description":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1131","description":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1117","description":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1117","description":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1217","description":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1217","description":"DOC SYS RSN FOR NOT DOC  and  REV SPIROMETRY RSLTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN INTVL  LT 3 YRS SINCE LAST COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9999","description":"DOC SYS RSN INTVL  LT 3 YRS SINCE LAST COLONOSCOPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN INTVL  LT 3 YRS SINCE LAST COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9999","description":"DOC SYS RSN INTVL  LT 3 YRS SINCE LAST COLONOSCOPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1235","description":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1235","description":"DOC/PT RPRT HCV AB/HCV RNA TST OCRD PRI PER PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD PEGINTF RIB THXY CONSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4152F","description":"DOCD PEGINTF RIB THXY CONSD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REAS INTERVAL  LT 3 YR SINCE LST COLONSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9998","description":"DOCUM MED REAS INTERVAL  LT 3 YR SINCE LST COLONSCP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REAS INTERVAL  LT 3 YR SINCE LST COLONSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9998","description":"DOCUM MED REAS INTERVAL  LT 3 YR SINCE LST COLONSCP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1175","description":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1175","description":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1184","description":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1184","description":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1169","description":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1169","description":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1202","description":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1202","description":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9996","description":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9996","description":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2149","description":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2149","description":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CAREGIV IS TRN  and  CERT IN DEM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2185","description":"DOCUMENTATION CAREGIV IS TRN  and  CERT IN DEM CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CAREGIV IS TRN  and  CERT IN DEM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2185","description":"DOCUMENTATION CAREGIV IS TRN  and  CERT IN DEM CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1330","description":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1330","description":"DOCUMENTATION OF PATIENT RSN FOR NO F/U EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1335","description":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1335","description":"DOCUMENTATION PATIENT REASON NO FOLLOW UP EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1307","description":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1307","description":"DOCUMENTATION PT RCVD/CURRENT RCVG PALLIATIVE/HC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT UNABLE TO COM  and  INF NOT AVAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2183","description":"DOCUMENTATION PT UNABLE TO COM  and  INF NOT AVAIL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT UNABLE TO COM  and  INF NOT AVAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2183","description":"DOCUMENTATION PT UNABLE TO COM  and  INF NOT AVAIL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1288","description":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1288","description":"DOCUMENTED RSN NOT SCR/RECOM A F/U FOR HIGH BP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"48550","description":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4911","description":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4911","description":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.9975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.9975,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J3535","description":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BENZODIAZEPINES 1-12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80346","description":"DRUG SCREENING BENZODIAZEPINES 1-12","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIATES 1 OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80361","description":"DRUG SCREENING OPIATES 1 OR MORE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OXYCODONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80365","description":"DRUG SCREENING OXYCODONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90702","description":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90702","description":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90723","description":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOAMNION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4327","description":"DUOAMNION PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS FISTULA CPTR AIDED LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0876T","description":"DUPLEX SCAN HEMODIALYSIS FISTULA CPTR AIDED LMTD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS FISTULA CPTR AIDED LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0876T","description":"DUPLEX SCAN HEMODIALYSIS FISTULA CPTR AIDED LMTD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1399","description":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT  DOC RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0729T","description":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0729T","description":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0728T","description":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0728T","description":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX INTRAOP EPICAR CARDIAC US CHD I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76989","description":"DX INTRAOP EPICAR CARDIAC US CHD I and R ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX INTRAOP EPICAR CARDIAC US CHD I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76989","description":"DX INTRAOP EPICAR CARDIAC US CHD I and R ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX NTRAOP EPCAR CAR US CHD PLMT MNPJ and IMG ACQUISJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76988","description":"DX NTRAOP EPCAR CAR US CHD PLMT MNPJ and IMG ACQUISJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX NTRAOP EPCAR CAR US CHD PLMT MNPJ and IMG ACQUISJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76988","description":"DX NTRAOP EPCAR CAR US CHD PLMT MNPJ and IMG ACQUISJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1815","description":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1815","description":"DYN ADJ ANKLE EXT  and  FLEX DEVC SOFT INTF MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJ ANKLE EXT/FLEX DEVC INCL SOFT INTF MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1815","description":"DYN ADJ ANKLE EXT/FLEX DEVC INCL SOFT INTF MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL ELB EXT/FLX DEVC W/SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1800","description":"DYN ADJUSTBL ELB EXT/FLX DEVC W/SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT  and  FLX DEVC SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FNGR EXT/FLX DEVC W/SFT INTRFCE MAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1825","description":"DYN ADJUSTBL FNGR EXT/FLX DEVC W/SFT INTRFCE MAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1802","description":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1802","description":"DYN ADJUSTBL FORARM PRON/SUPIN DEVC INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL KNEE EXT/FLX DEVC W/INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1810","description":"DYN ADJUSTBL KNEE EXT/FLX DEVC W/INTERFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1840","description":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1840","description":"DYN ADJUSTBL SHLDR FLX/ABDCT/ROT DEVC SFT MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT  and  FLX DEVC SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL TOE EXT/FLX DEVC W/SFT INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1830","description":"DYN ADJUSTBL TOE EXT/FLX DEVC W/SFT INTRFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT  and  FLX DEVC INTERFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN ADJUSTBL WRIST EXT/FLX DEVC W/INTERFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1805","description":"DYN ADJUSTBL WRIST EXT/FLX DEVC W/INTERFCE MATL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1812","description":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1812","description":"DYN KNEE EXT/FLEX DEVC W/ACTV RESISTANCE CONTROL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1822","description":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1822","description":"DYNAMIC ADJUSTABLE ANKLE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1823","description":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1823","description":"DYNAMIC ADJUSTABLE ANKLE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1803","description":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1803","description":"DYNAMIC ADJUSTABLE ELBOW EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1804","description":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1804","description":"DYNAMIC ADJUSTABLE ELBOW FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1826","description":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1826","description":"DYNAMIC ADJUSTABLE FINGER EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1827","description":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1827","description":"DYNAMIC ADJUSTABLE FINGER FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1813","description":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1813","description":"DYNAMIC ADJUSTABLE KNEE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1814","description":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1814","description":"DYNAMIC ADJUSTABLE KNEE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1828","description":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1828","description":"DYNAMIC ADJUSTABLE TOE EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1829","description":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1829","description":"DYNAMIC ADJUSTABLE TOE FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1807","description":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1807","description":"DYNAMIC ADJUSTABLE WRIST EXTENSION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1808","description":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1808","description":"DYNAMIC ADJUSTABLE WRIST FLEXION ONLY DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Dispensing fee binaural","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5160","description":"Dispensing fee binaural","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Dispensing fee binaural","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5160","description":"Dispensing fee binaural","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-GRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93318","description":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93318","description":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0530","description":"ELEC POSITIONAL OSA TX W/SENSOR ALL COMP ACC ANY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3751F","description":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0746","description":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4002","description":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4002","description":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1279","description":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1279","description":"ELEV/HYP BP RDG DOC INDIC F/U NOT DOC NO RSN GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1278","description":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1278","description":"ELEVATED/HYP BP READING DOC  and  INDIC F/U IS DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0195","description":"ELEVATING LEGREST PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4003","description":"EMERGENCY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4003","description":"EMERGENCY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENT CASES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1142","description":"EMERGENT CASES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENT CASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1142","description":"EMERGENT CASES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"END-TIDAL CTRL INHALD ANES AGT and O2 ASST ANES CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0887T","description":"END-TIDAL CTRL INHALD ANES AGT and O2 ASST ANES CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"END-TIDAL CTRL INHALD ANES AGT and O2 ASST ANES CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0887T","description":"END-TIDAL CTRL INHALD ANES AGT and O2 ASST ANES CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCRINOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4004","description":"ENDOCRINOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCRINOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4004","description":"ENDOCRINOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX  and  RSLT DC 12M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4157","description":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4157","description":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.8675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED HYDROLYZED/AA and PEPTIDE CHAIN PROTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4161","description":"ENTRAL F PED HYDROLYZED/AA and PEPTIDE CHAIN PROTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED HYDROLYZED/AA and PEPTIDE CHAIN PROTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4161","description":"ENTRAL F PED HYDROLYZED/AA and PEPTIDE CHAIN PROTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4160","description":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4160","description":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.7215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.7215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITION CMPL W/INTACT NUTRNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4158","description":"ENTRAL F PED NUTRITION CMPL W/INTACT NUTRNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITION CMPL W/INTACT NUTRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4158","description":"ENTRAL F PED NUTRITION CMPL W/INTACT NUTRNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4159","description":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.8255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4159","description":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.8255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.8255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4162","description":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4162","description":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.733,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4103","description":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4103","description":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.0995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.1645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.1645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8270","description":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.0875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8270","description":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.0875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.0875,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EOM MEOS PMT EOM ENHANCED SERVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0010","description":"EOM MEOS PMT EOM ENHANCED SERVICES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EOM MEOS PMT EOM ENHANCED SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0010","description":"EOM MEOS PMT EOM ENHANCED SERVICES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP PT HAD COMPETING DX W/IN 3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2097","description":"EP PT HAD COMPETING DX W/IN 3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP PT HAD COMPETING DX W/IN 3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2097","description":"EP PT HAD COMPETING DX W/IN 3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"EPIKERATOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65767","description":"EPIKERATOPLASTY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIS PT COMRBD CND DUR 12 M PRIOR TO/ON EPIS DT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2175","description":"EPIS PT COMRBD CND DUR 12 M PRIOR TO/ON EPIS DT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIS PT COMRBD CND DUR 12 M PRIOR TO/ON EPIS DT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2175","description":"EPIS PT COMRBD CND DUR 12 M PRIOR TO/ON EPIS DT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERROR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0000","description":"ERROR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4273","description":"ESANO AAA PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4273","description":"ESANO AAA, PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4273","description":"ESANO AAA, PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4274","description":"ESANO AC PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESD INCLUD ENDOSCOPY/COLONOSCOPY MUCOSAL CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9779","description":"ESD INCLUD ENDOSCOPY/COLONOSCOPY MUCOSAL CLOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0884T","description":"ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0884T","description":"ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTIM/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0769","description":"ESTIM/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVENT RECORDER CARDIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1764","description":"EVENT RECORDER CARDIAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1227","description":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1227","description":"EVIDENCE-BASED THERAPY WAS PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"D7441","description":"EXC MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATH PERQ UE STRICT BLN DIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7548","description":"EXCHANGE NEPHROSTOMY CATH PERQ UE STRICT BLN DIL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAJ PN NEUROMA NO SC IMP NE INTO BN/MSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7551","description":"EXCISION MAJ PN NEUROMA NO SC IMP NE INTO BN/MSC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7412","description":"EXCISION OF BENIGN LESION COMPLICATED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0156","description":"EXEMESTANE 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7287","description":"EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K1030","description":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1030","description":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":26.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":26.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0784","description":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0784","description":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"D9972","description":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEFIB W/INTEGRATED ECG ANALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0617","description":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0617","description":"EXTERNAL DEFIB W/INTEGRATED ECG ANALY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0743","description":"EXTERNAL LOWER EXTREMITY NERVE STIM FOR RLS EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0734","description":"EXTERNAL UPPER LIMB TREMOR STIM PERIPH NRV WRIST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0007","description":"EXTRA HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0007","description":"EXTRA HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2033F","description":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2033F","description":"EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAC SVCS DNTL REHAB PROC ON PT WHO RQRS MON ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0330","description":"FAC SVCS DNTL REHAB PROC ON PT WHO RQRS MON ANES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAC SVCS DNTL REHAB PROC ON PT WHO RQRS MON ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0330","description":"FAC SVCS DNTL REHAB PROC ON PT WHO RQRS MON ANES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACILITY-BASED RESPITE 24-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0531","description":"FACILITY-BASED RESPITE 24-HOUR UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACILITY-BASED RESPITE 24-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0531","description":"FACILITY-BASED RESPITE 24-HOUR UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7191","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7191","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":null,"billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4005","description":"FAMILY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4005","description":"FAMILY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0799","description":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0799","description":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0467","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERTILITY CYCLE TS APP FDA CL PER MO INCL ACC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9293","description":"FERTILITY CYCLE TS APP FDA CL PER MO INCL ACC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FERTILITY CYCLE TS APP FDA CL PER MO INCL ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9293","description":"FERTILITY CYCLE TS APP FDA CL PER MO INCL ACC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FES TRANSQ STIM NERV and /MUSC GRP CMPL SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0770","description":"FES TRANSQ STIM NERV and /MUSC GRP CMPL SYS NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3933","description":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3933","description":"FINGER ORTHOSIS W/O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4730","description":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8220","description":"FIXED APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORTAUCIPIR F 18 INJECTION DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9601","description":"FLORTAUCIPIR F 18 INJECTION DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9601","description":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9601","description":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9609","description":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9609","description":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0218","description":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0218","description":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.2575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUID FLOW OR FLUID GF 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4206","description":"FLUID FLOW OR FLUID GF 1 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUID FLOW OR FLUID GF 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4206","description":"FLUID FLOW OR FLUID GF 1 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9591","description":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9591","description":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTTER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8185","description":"FLUTTER DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTTER DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8185","description":"FLUTTER DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.885,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1366","description":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1366","description":"FOCUSING ON WOMEN'S HEALTH MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3160","description":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.9915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3160","description":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.9915,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3253","description":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3253","description":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.5,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3252","description":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3252","description":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.25,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J7640","description":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86930","description":"FROZEN BLOOD EACH UNIT FREEZING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1050","description":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1050","description":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1070","description":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1070","description":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0764","description":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS  and  CP 2 DYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 1YR PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2143","description":"FUNC ST ODI 1YR PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 1YR PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2143","description":"FUNC ST ODI 1YR PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 1YR PO LT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2142","description":"FUNC ST ODI 1YR PO LT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 1YR PO LT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2142","description":"FUNC ST ODI 1YR PO LT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 3MO PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2145","description":"FUNC ST ODI 3MO PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 3MO PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2145","description":"FUNC ST ODI 3MO PO  GT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 3MO PO  LT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2144","description":"FUNC ST ODI 3MO PO  LT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC ST ODI 3MO PO  LT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2144","description":"FUNC ST ODI 3MO PO  LT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1141","description":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1141","description":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME  LT  40 PCT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WAS NOT MSR OKS 1 YR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1141","description":"FUNCTIONAL STATUS WAS NOT MSR OKS 1 YR POSTOP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT MODULATION SYSTEM RHYTHMIC AUDITORY STIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E3200","description":"GAIT MODULATION SYSTEM RHYTHMIC AUDITORY STIM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9596","description":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9596","description":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9594","description":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9594","description":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9593","description":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9593","description":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2000","description":"GASTR SUCTION PUMP HOM MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROENTEROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4006","description":"GASTROENTEROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROENTEROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4006","description":"GASTROENTEROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0196","description":"GEL PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6025","description":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6025","description":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.945,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4007","description":"GENERAL SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4007","description":"GENERAL SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL SURGERY MIPSSPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4007","description":"GENERAL SURGERY MIPSSPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4008","description":"GERIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4008","description":"GERIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MYOELECTRICAL ACTIVITY STUDY STMCH-COLON I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0779T","description":"GI MYOELECTRICAL ACTIVITY STUDY STMCH-COLON I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI MYOELECTRICAL ACTIVITY STUDY STMCH-COLON I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0779T","description":"GI MYOELECTRICAL ACTIVITY STUDY STMCH-COLON I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1223","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1223","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1222","description":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1222","description":"GLAUCOMA PLAN OF CARE NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1212","description":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1212","description":"GLYCEMIC STS ASSMT HBA1C/GMI LVL MISS/NOT PERF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6561","description":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6561","description":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6559","description":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6559","description":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6560","description":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6560","description":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1181","description":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1181","description":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6609","description":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6609","description":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STOCKING GARTER BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6544","description":"GRADIENT COMPRESSION STOCKING GARTER BELT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STOCKING GARTER BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6544","description":"GRADIENT COMPRESSION STOCKING GARTER BELT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.517,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6584","description":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6584","description":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.4275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.4275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.4275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8426","description":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8426","description":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8425","description":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8425","description":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8420","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.6645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8420","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.6645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.6645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":62.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":62.2765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.2765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8423","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8423","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8422","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.9235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8422","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.9235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE EXTERIOR WRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8429","description":"GRADIENT PRESSURE EXTERIOR WRAP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.3585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE EXTERIOR WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8429","description":"GRADIENT PRESSURE EXTERIOR WRAP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.3585,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1210","description":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1210","description":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1209","description":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1209","description":"GT  2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77387","description":"GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8265","description":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8265","description":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.532,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS  AND  RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9912","description":"HBV STS ASSESS  AND  RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96170","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96170","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96171","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96171","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CARE PRACTITIONERS RENDERING TIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2021","description":"HEALTH CARE PRACTITIONERS RENDERING TIP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CARE PRACTITIONERS RENDERING TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2021","description":"HEALTH CARE PRACTITIONERS RENDERING TIP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIGITAL BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5259","description":"HEARING AID DIGITAL BINAURAL ITC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIGITAL BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5259","description":"HEARING AID DIGITAL BINAURAL ITC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5298","description":"HEARING AID NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5298","description":"HEARING AID NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5299","description":"HEARING SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5299","description":"HEARING SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0006","description":"HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY-DUTY WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0006","description":"HEAVY-DUTY WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL PAD REMOVABLE FOR SPUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3485","description":"HEEL PAD REMOVABLE FOR SPUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL PAD REMOVABLE FOR SPUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3485","description":"HEEL PAD REMOVABLE FOR SPUR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.8595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.8595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.8595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1083","description":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1083","description":"HEMI-W/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1086","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1086","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.1065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1084","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1084","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1085","description":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.1945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.1945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1085","description":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.0175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.1945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.1945,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.73,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J7199","description":"HEMOPHILIA CLOTTING FACTOR NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOSTATS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1637","description":"HEMOSTATS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOSTATS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1637","description":"HEMOSTATS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP A VAC SERIES RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4154F","description":"HEP A VAC SERIES RECOMMENDED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 B VAC INJ ADMIN RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4275F","description":"HEP B VAC INJ ADMIN RCVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 B VAC SERIES RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4156F","description":"HEP B VAC SERIES RECOMMENDED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1520","description":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.2015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1520","description":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.1195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.2015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.2015,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1195","description":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1195","description":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1290","description":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1290","description":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.2065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1280","description":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1280","description":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1285","description":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1285","description":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1295","description":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1295","description":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1090","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.1735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1090","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.1735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1088","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1088","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1089","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.9845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1089","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.4965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.9845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.9845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1087","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1087","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0004","description":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0004","description":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-RESOLUTION GASTRIC ELECTROPHYSIOLOGY MAPG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0868T","description":"HIGH-RESOLUTION GASTRIC ELECTROPHYSIOLOGY MAPG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-RESOLUTION GASTRIC ELECTROPHYSIOLOGY MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0868T","description":"HIGH-RESOLUTION GASTRIC ELECTROPHYSIOLOGY MAPG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTOTRIPSY MALIGNANT RENAL TISSUE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0888T","description":"HISTOTRIPSY MALIGNANT RENAL TISSUE W/IMG GDN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTOTRIPSY MALIGNANT RENAL TISSUE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0888T","description":"HISTOTRIPSY MALIGNANT RENAL TISSUE W/IMG GDN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9494","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0321","description":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0321","description":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.2195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.2195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.2195,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9275","description":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9275","description":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0320","description":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0320","description":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99509","description":"HOME VISIT ASSISTANCE DAILY LIV AND PRSONAL CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99511","description":"HOME VISIT FECAL IMPACTION MGMT AND ENEMA ADMN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99502","description":"HOME VISIT NEWBORN CARE  AND  ASSESSMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0304","description":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0304","description":"HOS BED EXTRA HEAVY DUTY WT CAP GT 600 PDS MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0303","description":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0303","description":"HOS BED HEVY DUTY W/WT CAP  GT 350 PDS LT or equal to TO 6","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0301","description":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0301","description":"HOS BED HEVY DUTY XTRA WIDE W/WT CAPACTY GT 350 PDS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0261","description":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0261","description":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0260","description":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0260","description":"HOS BED SEMI-ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0266","description":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0266","description":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0256","description":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0256","description":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0293","description":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0293","description":"HOS BED VARIBL HT HI-LO W/O SIDE RAIL NO MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0255","description":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0255","description":"HOS BED VARIBL HT W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0302","description":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0302","description":"HOS BED XTRA HEVY DUTY WT CAP GT 600 PDS W/O MTTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0251","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0251","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAIL W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0250","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0250","description":"HOSP BED FIX HT W/ANY TYPE SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0295","description":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0295","description":"HOSP BED SEMI-ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0265","description":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0265","description":"HOSP BED TOT ELEC W/ANY TYPE SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0297","description":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0297","description":"HOSP BED TOTAL ELEC W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0292","description":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0292","description":"HOSP BED VARIBL HT HI-LO W/O SIDE RAIL W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROV PT ANY TIME DURING PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1191","description":"HOSPICE SERVICES PROV PT ANY TIME DURING PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROV PT ANY TIME DURING PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1191","description":"HOSPICE SERVICES PROV PT ANY TIME DURING PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1303","description":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1303","description":"HOSPICE SRVC PRVD TO PT ANY TIME DUR MSMT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVCS PROV PT ANY TIME DURING MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1159","description":"HOSPICE SVCS PROV PT ANY TIME DURING MSMT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVCS PROV PT ANY TIME DURING MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1159","description":"HOSPICE SVCS PROV PT ANY TIME DURING MSMT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0291","description":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0291","description":"HOSPITAL BED FIX HT W/O SIDE RAILS W/O MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0290","description":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0290","description":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0329","description":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4384.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4384.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0329","description":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4384.9195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4384.9195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0328","description":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3288.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3288.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0328","description":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.8675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3288.6945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3288.6945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0294","description":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0294","description":"HOSPITAL BED SEMI-ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0296","description":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0296","description":"HOSPITAL BED TOTAL ELEC W/O SIDE RAILS W/MATTRSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALISTS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4009","description":"HOSPITALISTS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALISTS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4009","description":"HOSPITALISTS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0550","description":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0550","description":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX/O2 DEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"J7131","description":"HYPERTONIC SALINE SOLUTION 1 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.73,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoglobin A1c level Gëñ 9.0 pct","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3047F","description":"Hemoglobin A1c level Gëñ 9.0 pct","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"D7521","description":"I  AND  D ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90689","description":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90689","description":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRESRV FREE 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90686","description":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRESRV FREE 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90686","description":"IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPLIT VIRUS 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90687","description":"IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPLIT VIRUS 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90688","description":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPLIT VIRUS 0.5 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90688","description":"IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0732T","description":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0732T","description":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CARD EVENT RECORDR W/MEM ACTIVATOR and PROGMMER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0616","description":"IMPL CARD EVENT RECORDR W/MEM ACTIVATOR and PROGMMER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1417.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.5915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL CARD EVENT RECORDR W/MEM ACTIVATOR and PROGMMER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0616","description":"IMPL CARD EVENT RECORDR W/MEM ACTIVATOR and PROGMMER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1417.5915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1417.5915,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEUROSTIM 1 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8686","description":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4475.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4475.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9729.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9729.5185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8686","description":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4475.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4475.5555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9729.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9729.5185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8685","description":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7731.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7731.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8685","description":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7731.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7731.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8688","description":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6390.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6390.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8688","description":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6390.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6390.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8687","description":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8687","description":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEUROSTIMULATOR ELECTRODE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8680","description":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3007.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3007.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3178.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3178.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8680","description":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.1805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3007.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3007.0235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3178.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3178.435,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBQ PERITONEAL ASCITES PUMP SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0870T","description":"IMPLANTATION SUBQ PERITONEAL ASCITES PUMP SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBQ PERITONEAL ASCITES PUMP SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0870T","description":"IMPLANTATION SUBQ PERITONEAL ASCITES PUMP SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0660T","description":"IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0660T","description":"IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"69710","description":"IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0395","description":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0058","description":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0058","description":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1167","description":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1167","description":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-HOME RESPITE CARE 4-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0529","description":"IN-HOME RESPITE CARE 4-HOUR UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-HOME RESPITE CARE 4-HOUR UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0529","description":"IN-HOME RESPITE CARE 4-HOUR UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4335","description":"INCONTINENCE SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4335","description":"INCONTINENCE SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1340","description":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1340","description":"INDEX ASMT CMPL USING 12-ITEM WHODAS 2.0/SDS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1359","description":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1359","description":"INDEX ASSMNT DUR DENOM PRD SI A/O BX SX/INC SR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90875","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90876","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90876","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS DISEASE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4010","description":"INFECTIOUS DISEASE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS DISEASE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4010","description":"INFECTIOUS DISEASE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1299","description":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1299","description":"INFLUENZA IMMUNIZATION ADMIN/PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1300","description":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1300","description":"INFLUENZA IMMUNIZATION NOT ADMIN RSNS DOC CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1308","description":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1308","description":"INFLUENZA IMMUNIZATION WAS NOT ADM NO REASON","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM AFLURIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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 FLUZONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2038","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLUZONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FLUZONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2038","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS  and   GT  IM FLUZONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.5075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.5075,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9048","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9048","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9043","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9043","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.0755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.0755,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NRS VRS OR ITCHYQUANT ASMT SCORE  GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1204","description":"INITIAL NRS VRS OR ITCHYQUANT ASMT SCORE  GT or equal to","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NRS VRS OR ITCHYQUANT ASMT SCORE  GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1204","description":"INITIAL NRS VRS OR ITCHYQUANT ASMT SCORE  GT or equal to","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NRS/VRS OR ITCHYQUANT ASSESSM SCORE  GT or equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1196","description":"INITIAL NRS/VRS OR ITCHYQUANT ASSESSM SCORE  GT or equal t","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NRS/VRS OR ITCHYQUANT ASSESSM SCORE  GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1196","description":"INITIAL NRS/VRS OR ITCHYQUANT ASSESSM SCORE  GT or equal t","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1143","description":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1143","description":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0283","description":"INJ AMIODARONE HYDROCHLORIDE 30 MG NEXTERONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0520","description":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0520","description":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0620","description":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0620","description":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1574","description":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1574","description":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J1599","description":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2252","description":"INJ MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2252","description":"INJ MDZ IN 0.8 PCT  NSVL IV NOT THR EQ TO J2250 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q9968","description":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SN 3 MG  and  SODIUM THIOSULFATE 125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0211","description":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SN 3 MG  and  SODIUM THIOSULFATE 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0211","description":"INJ SN 3 MG  and  SODIUM THIOSULFATE 125 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0040","description":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS  3.1 GMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1598","description":"INJECT GLY FRESENIUS KAB NOT THR EQ J1596 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2246","description":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2246","description":"INJECT MICAFUNGIN SODIUM NOT THR EQ J2248 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0138","description":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0138","description":"INJECTION ACETAMINOPHEN 10 MG AND IBUPROFEN 3 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0220","description":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0220","description":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPROSTADIL 1.25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0270","description":"INJECTION ALPROSTADIL 1.25 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALPROSTADIL 1.25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0270","description":"INJECTION ALPROSTADIL 1.25 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J1320","description":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"J7196","description":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3393","description":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3393","description":"INJECTION BETIBEGLOGENE AUTOTEMCEL PER TREATMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0945","description":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0945","description":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9064","description":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9064","description":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2 MG/3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9077","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2 MG/3 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9697","description":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9697","description":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9075","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTETAN DISODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0525","description":"INJECTION CEFOTETAN DISODIUM 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTETAN DISODIUM 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0525","description":"INJECTION CEFOTETAN DISODIUM 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"INJECTION CHLOROQUINE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0390","description":"INJECTION CHLOROQUINE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROQUINE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0390","description":"INJECTION CHLOROQUINE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"S0023","description":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0759","description":"INJECTION CLEVIDIPINE BUTYRATE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE AVYXA 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9074","description":"INJECTION CYCLOPHOSPHAMIDE SANDOZ 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0589","description":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0589","description":"INJECTION DAXIBOTULINUMTOXINA-LANM 1 UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5136","description":"INJECTION DENOSUMAB-BBDZ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEOXYCHOLIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0591","description":"INJECTION DEOXYCHOLIC ACID 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEOXYCHOLIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0591","description":"INJECTION DEOXYCHOLIC ACID 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZOXIDE UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1730","description":"INJECTION DIAZOXIDE UP TO 300 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZOXIDE UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1730","description":"INJECTION DIAZOXIDE UP TO 300 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICLOFENAC SODIUM .5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1130","description":"INJECTION DICLOFENAC SODIUM .5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICLOFENAC SODIUM .5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1130","description":"INJECTION DICLOFENAC SODIUM .5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9361","description":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9361","description":"INJECTION EFBEMALENOGRASTIM ALFA-VUXW 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFUVIRTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1324","description":"INJECTION ENFUVIRTIDE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENFUVIRTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1324","description":"INJECTION ENFUVIRTIDE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1370","description":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1370","description":"INJECTION ESOMEPRAZOLE SODIUM 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1435","description":"INJECTION ESTRONE PER 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETEPLIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1428","description":"INJECTION ETEPLIRSEN 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETEPLIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1428","description":"INJECTION ETEPLIRSEN 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHACRYNATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1807","description":"INJECTION ETHACRYNATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHACRYNATE SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1807","description":"INJECTION ETHACRYNATE SODIUM 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETIDRONATE DISODIUM PER 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1436","description":"INJECTION ETIDRONATE DISODIUM PER 300 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETIDRONATE DISODIUM PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1436","description":"INJECTION ETIDRONATE DISODIUM PER 300 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9079","description":"INJECTION EVINACUMAB-DGNB 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1434","description":"INJECTION FOSAPREPITANT FOCINVEZ 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1597","description":"INJECTION GLYCOPYRROLATE GLYRX-PF 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1700","description":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1700","description":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3424","description":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3424","description":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1726","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1726","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1729","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IBUPROFEN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1741","description":"INJECTION IBUPROFEN 100 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ICATIBANT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1744","description":"INJECTION ICATIBANT 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ICATIBANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1744","description":"INJECTION ICATIBANT 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ILOPROST 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1749","description":"INJECTION ILOPROST 0.1 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INSULIN PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1815","description":"INJECTION INSULIN PER 5 UNITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INSULIN PER 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1815","description":"INJECTION INSULIN PER 5 UNITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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-N3 250,000 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9215","description":"INJECTION INTERFERON ALFA-N3 250,000 IU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-N3 250,000 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9215","description":"INJECTION INTERFERON ALFA-N3 250,000 IU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISAVUCONAZONIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1833","description":"INJECTION ISAVUCONAZONIUM 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISAVUCONAZONIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1833","description":"INJECTION ISAVUCONAZONIUM 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISONIAZID 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1834","description":"INJECTION ISONIAZID 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISONIAZID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1834","description":"INJECTION ISONIAZID 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1960","description":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1960","description":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2004","description":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2004","description":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3394","description":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3394","description":"INJECTION LOVOTIBEGLOGENE AUTOTEMCEL PER TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN APOTEX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9249","description":"INJECTION MELPHALAN APOTEX 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN APOTEX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9249","description":"INJECTION MELPHALAN APOTEX 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN FLUFENAMIDE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9080","description":"INJECTION MELPHALAN FLUFENAMIDE HCL 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HEPZATO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9248","description":"INJECTION MELPHALAN HEPZATO 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HEPZATO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9248","description":"INJECTION MELPHALAN HEPZATO 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2180","description":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2180","description":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLNALTREXONE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2212","description":"INJECTION METHYLNALTREXONE 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2253","description":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2253","description":"INJECTION MIDAZOLAM (SEIZALAM) 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J2265","description":"INJECTION MINOCYCLINE HCL 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5134","description":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5134","description":"INJECTION NATALIZUMAB-SZTN BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NUSINERSEN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2326","description":"INJECTION NUSINERSEN 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NUSINERSEN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2326","description":"INJECTION NUSINERSEN 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFLOXACIN 400 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0034","description":"INJECTION OFLOXACIN 400 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2460","description":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2460","description":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAFOLACIANINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9603","description":"INJECTION PAFOLACIANINE 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAFOLACIANINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9603","description":"INJECTION PAFOLACIANINE 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2468","description":"INJECTION PALONOSETRON HCL POSFREA 25 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2471","description":"INJECTION PAN NOT THERAP EQUIV TO J2470 40 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2502","description":"INJECTION PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERAMIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2547","description":"INJECTION PERAMIVIR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERAMIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2547","description":"INJECTION PERAMIVIR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"S0081","description":"INJECTION PIPERACILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2998","description":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2998","description":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POZELIMAB-BBFG 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9376","description":"INJECTION POZELIMAB-BBFG 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POZELIMAB-BBFG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9376","description":"INJECTION POZELIMAB-BBFG 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMAZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2950","description":"INJECTION PROMAZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMAZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2950","description":"INJECTION PROMAZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"J2725","description":"INJECTION PROTIRELIN PER 250 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RADIESSE 0.1ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2026","description":"INJECTION RADIESSE 0.1ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RADIESSE 0.1ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2026","description":"INJECTION RADIESSE 0.1ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5128","description":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5128","description":"INJECTION RANIBIZUMAB-EQRN BIOSIMILAR 0.1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2801","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2801","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROLAPITANT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2797","description":"INJECTION ROLAPITANT 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROLAPITANT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2797","description":"INJECTION ROLAPITANT 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NON-LYOPHILIZED 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9065","description":"INJECTION ROMIDEPSIN NON-LYOPHILIZED 1MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"Q2028","description":"INJECTION SCULPTRA 0.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SEBELIPASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2840","description":"INJECTION SEBELIPASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SEBELIPASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2840","description":"INJECTION SEBELIPASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9331","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0209","description":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0209","description":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERIPARATIDE 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3110","description":"INJECTION TERIPARATIDE 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERIPARATIDE 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3110","description":"INJECTION TERIPARATIDE 10 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETRACYCLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0120","description":"INJECTION TETRACYCLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETRACYCLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0120","description":"INJECTION TETRACYCLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5133","description":"INJECTION TOCILIZUMAB-BAVI BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOLAZOLINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2670","description":"INJECTION TOLAZOLINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOLAZOLINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2670","description":"INJECTION TOLAZOLINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRANEXAMIC ACID 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3290","description":"INJECTION TRANEXAMIC ACID 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRANEXAMIC ACID 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3290","description":"INJECTION TRANEXAMIC ACID 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7355","description":"INJECTION TRAVOPROST INTRACAMERAL IMPLANT 1 MCG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3299","description":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3302","description":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3302","description":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9078","description":"INJECTION TRILACICLIB 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UREA UP TO 40 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3350","description":"INJECTION UREA UP TO 40 G","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UREA UP TO 40 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3350","description":"INJECTION UREA UP TO 40 G","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5138","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS IV 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5137","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5137","description":"INJECTION USTEKINUMAB-AUUB WEZLANA BS SC 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3398","description":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3398","description":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36468","description":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36468","description":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS CVC THRU CVO VIA INF  and  SUP APRCH INC IMG GD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9780","description":"INS CVC THRU CVO VIA INF  and  SUP APRCH INC IMG GD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSEMINATION OOCYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89268","description":"INSEMINATION OOCYTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0744T","description":"INSERTION BIOPROSTHETIC VALVE OPEN FEMORAL VEIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0647T","description":"INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0647T","description":"INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0668","description":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0668","description":"INSTILL BUPIVACAINE  and  MELOXICAM 1 MG/0.03 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0911","description":"INSTILLATION TRD 1.35 MG  and  HEP SODIUM 100 UNITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0780T","description":"INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0780T","description":"INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9480","description":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERBODY CAGE ANT LATERAL/POSTERIOR PRSNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1831","description":"INTERBODY CAGE ANT LATERAL/POSTERIOR PRSNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4011","description":"INTERNAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4011","description":"INTERNAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1821","description":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4012","description":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4012","description":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1225","description":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1225","description":"INTRAOCULAR PRES RED BY VAL  GT or equal to  20 PCT  PRE-I","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1224","description":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1224","description":"INTRAOCULAR PRES RED BY VALUE  LT 20 PCT  PRE-INT LVL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR PRESS REDUCED  GT EQUAL 15 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"INTRAOCULAR PRESS REDUCED  GT EQUAL 15 PCT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 THER ESTIM PERIPHERAL NRV 1ST NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0882T","description":"INTRAOP THER ESTIM PERIPHERAL NRV 1ST NERVE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THER ESTIM PERIPHERAL NRV 1ST NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0882T","description":"INTRAOP THER ESTIM PERIPHERAL NRV 1ST NERVE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THER ESTIM PERIPHERAL NRV EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0883T","description":"INTRAOP THER ESTIM PERIPHERAL NRV EA ADDL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THER ESTIM PERIPHERAL NRV EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0883T","description":"INTRAOP THER ESTIM PERIPHERAL NRV EA ADDL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THER ESTIM PERIPHERAL NRV UXTR 1ST NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0882T","description":"INTRAOP THER ESTIM PERIPHERAL NRV UXTR 1ST NERVE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THER ESTIM PERIPHERAL NRV UXTR EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0883T","description":"INTRAOP THER ESTIM PERIPHERAL NRV UXTR EA ADDL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96548","description":"INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96548","description":"INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96547","description":"INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96547","description":"INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0138","description":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0138","description":"INTRAVENOUS INFUSION CIPAGLUCOSIDASE ALFA-ATGA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS MOD SED ANAL-EA SUBSQT 15 MIN INCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9243","description":"INTRAVENOUS MOD SED ANAL-EA SUBSQT 15 MIN INCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS MOD SED/ANAL-EA SUBSQT 15 MIN INCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9243","description":"INTRAVENOUS MOD SED/ANAL-EA SUBSQT 15 MIN INCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS MODERATE SEDAT ANALGESIA-1ST 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9239","description":"INTRAVENOUS MODERATE SEDAT ANALGESIA-1ST 15 MINS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENOUS MODERATE SEDAT/ANALGESIA-1ST 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9239","description":"INTRAVENOUS MODERATE SEDAT/ANALGESIA-1ST 15 MINS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRDUCR/SHEATH GUID INTRACARD EP NOT PEEL-AWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1766","description":"INTRDUCR/SHEATH GUID INTRACARD EP NOT PEEL-AWAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9590","description":"IODINE I-131 IOBENGUANE 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9590","description":"IODINE I-131 IOBENGUANE 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEASUREMENT NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1226","description":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1226","description":"IOP MEASUREMENT NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3285F","description":"IOP REDUCED  LT 15 PCT  PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2004","description":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2004","description":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1206","description":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1206","description":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1205","description":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1205","description":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1198","description":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1198","description":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1197","description":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1197","description":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TUBING EXTENSION SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1015","description":"IV TUBING EXTENSION SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TUBING EXTENSION SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1015","description":"IV TUBING EXTENSION SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection estrone per 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1435","description":"Injection estrone per 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection estrone per 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1435","description":"Injection estrone per 1 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAW MOTION REHABILITATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1700","description":"JAW MOTION REHABILITATION SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAW MOTION REHABILITATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1700","description":"JAW MOTION REHABILITATION SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KEROXX (2.5G/CC) 1CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4202","description":"KEROXX (2.5G/CC) 1CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KEROXX (2.5G/CC) 1CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4202","description":"KEROXX (2.5G/CC) 1CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1510","description":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6453.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6453.6485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1510","description":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6453.6485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6453.6485,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90660","description":"LAIV3 VACCINE LIVE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV4 VACCINE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90672","description":"LAIV4 VACCINE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV4 VACCINE FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90672","description":"LAIV4 VACCINE FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD NEUROSTIMULATOR TEST KIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"C1897","description":"LEAD NEUROSTIMULATOR TEST KIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":868.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD NEUROSTIMULATOR TEST KIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1897","description":"LEAD NEUROSTIMULATOR TEST KIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":868.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.79,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEAS VAS 1 YR PO GT 3.0 DEMS CHNG  LT 5 PNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2147","description":"LEG PAIN MEAS VAS 1 YR PO GT 3.0 DEMS CHNG  LT 5 PNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEAS VAS 1 YR PO GT or equal to 3.0 DEM CHANG 5 P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2146","description":"LEG PAIN MEAS VAS 1 YR PO GT or equal to 3.0 DEM CHANG 5 P","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEAS VAS 3 MNT PO GT 3.0 DEMS CHNG  LT 5 PNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2141","description":"LEG PAIN MEAS VAS 3 MNT PO GT 3.0 DEMS CHNG  LT 5 PNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEAS VAS 3 MNT PO LT or equal to 3.0 DEM CHNG 5 P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2140","description":"LEG PAIN MEAS VAS 3 MNT PO LT or equal to 3.0 DEM CHNG 5 P","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 1 YR PO  GT 3.0 IMPROVEMNT  LT 5 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2147","description":"LEG PAIN MSR VAS 1 YR PO  GT 3.0 IMPROVEMNT  LT 5 PTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 1 YR PO  GT 3.0 IMPROVEMNT  LT 5 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2147","description":"LEG PAIN MSR VAS 1 YR PO  GT 3.0 IMPROVEMNT  LT 5 PTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 1 YR PO  GT or equal to 3.0 IMPRV 5 PNT O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2146","description":"LEG PAIN MSR VAS 1 YR PO  GT or equal to 3.0 IMPRV 5 PNT O","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 1 YR PO  GT or equal to 3.0 IMPRV 5 PNT O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2146","description":"LEG PAIN MSR VAS 1 YR PO  GT or equal to 3.0 IMPRV 5 PNT O","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 3 MO PO  LT or equal to 3.0 IMPV  LT 5.0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2140","description":"LEG PAIN MSR VAS 3 MO PO  LT or equal to 3.0 IMPV  LT 5.0","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 3 MO PO  LT or equal to 3.0 IMPV  LT 5.0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2140","description":"LEG PAIN MSR VAS 3 MO PO  LT or equal to 3.0 IMPV  LT 5.0","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 3 MONTHS PO  GT 3.0 IMPROV  LT 5 PNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2141","description":"LEG PAIN MSR VAS 3 MONTHS PO  GT 3.0 IMPROV  LT 5 PNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 3 MONTHS PO  GT 3.0 IMPROV  LT 5 PNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2141","description":"LEG PAIN MSR VAS 3 MONTHS PO  GT 3.0 IMPROV  LT 5 PNTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"J7306","description":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL AND SPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1260","description":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.0955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1260","description":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.5115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.0955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.0955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1240","description":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1240","description":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1270","description":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1270","description":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1250","description":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.3655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1250","description":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.1385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.3655,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3320","description":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3320","description":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0012","description":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0012","description":"LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0003","description":"LIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LISOCABTAGENE MARALEUCEL PER THERAPEUTIC DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9076","description":"LISOCABTAGENE MARALEUCEL PER THERAPEUTIC DOSE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4601","description":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.7355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4601","description":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.7355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.7355,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LPN/LVN SERVICES UP TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1003","description":"LPN/LVN SERVICES UP TO 15 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LPN/LVN SERVICES UP TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1003","description":"LPN/LVN SERVICES UP TO 15 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0634","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0634","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.9985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.9985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0632","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0632","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.8635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0629","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0629","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.165,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0469","description":"LUNG EXPAN AIRWAY CLR CONT HF OSC  and  NEBUL DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9513","description":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9513","description":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETICALLY CONTROLLED CAPSULE ENDOSCOPY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0651T","description":"MAGNETICALLY CONTROLLED CAPSULE ENDOSCOPY W/I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETICALLY CONTROLLED CAPSULE ENDOSCOPY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0651T","description":"MAGNETICALLY CONTROLLED CAPSULE ENDOSCOPY W/I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9888","description":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9888","description":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 A NEW PT DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0522","description":"MANAGEMENT OF A NEW PT DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 A NEW PT DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0522","description":"MANAGEMENT OF A NEW PT DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7830","description":"MANIPULATION UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4459","description":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0988","description":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0988","description":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4345","description":"MATRIX HD ALLOGRAFT DERMIS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D7620","description":"MAXILLA-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2022","description":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2022","description":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9361","description":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TESTIMONY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99075","description":"MEDICAL TESTIMONY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2075","description":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2075","description":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90734","description":"MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90623","description":"MENIGCCAL PNTVLNT MENACWY TT MENB FHBP VACC IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90624","description":"MENIGCCAL PNTVLNT MENB-4C  and  MENACWY VACC IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0031","description":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0031","description":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4013","description":"MENTAL/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4013","description":"MENTAL/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEW PT DEMENTIA MODERATE TO HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0523","description":"MGMT NEW PT DEMENTIA MODERATE TO HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEW PT DEMENTIA MODERATE TO HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0523","description":"MGMT NEW PT DEMENTIA MODERATE TO HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PATIENT DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0527","description":"MGMT OF EST PATIENT DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PATIENT DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0527","description":"MGMT OF EST PATIENT DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT DEMENTIA MOD TO HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0528","description":"MGMT OF EST PT DEMENTIA MOD TO HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT DEMENTIA MOD TO HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0528","description":"MGMT OF EST PT DEMENTIA MOD TO HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT-CG DYAD DEMENTIA HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0526","description":"MGMT OF EST PT-CG DYAD DEMENTIA HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT-CG DYAD DEMENTIA HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0526","description":"MGMT OF EST PT-CG DYAD DEMENTIA HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT-CG DYAD DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0524","description":"MGMT OF EST PT-CG DYAD DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT-CG DYAD DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0524","description":"MGMT OF EST PT-CG DYAD DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT-CG DYAD DEMENTIA MOD COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0525","description":"MGMT OF EST PT-CG DYAD DEMENTIA MOD COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF EST PT-CG DYAD DEMENTIA MOD COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0525","description":"MGMT OF EST PT-CG DYAD DEMENTIA MOD COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF NEW PT-CG DYAD DEMENTIA HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0521","description":"MGMT OF NEW PT-CG DYAD DEMENTIA HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF NEW PT-CG DYAD DEMENTIA HIGH COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0521","description":"MGMT OF NEW PT-CG DYAD DEMENTIA HIGH COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF NEW PT-CG DYAD DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0519","description":"MGMT OF NEW PT-CG DYAD DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF NEW PT-CG DYAD DEMENTIA LOW COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0519","description":"MGMT OF NEW PT-CG DYAD DEMENTIA LOW COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF NEW PT-CG DYAD DEMENTIA MOD COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0520","description":"MGMT OF NEW PT-CG DYAD DEMENTIA MOD COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF NEW PT-CG DYAD DEMENTIA MOD COMPLEXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0520","description":"MGMT OF NEW PT-CG DYAD DEMENTIA MOD COMPLEXITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4652","description":"MICROCAPILLARY TUBE SEALANT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4913","description":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4913","description":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2228","description":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2228","description":"MNL WC ACCESS WHEEL BRAKING SYS AND LOCK COMPLETE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.782,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":136.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1368.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.107,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":136.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1368.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1368.107,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1211","description":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1211","description":"MOST RECENT GLY STS ASSMT HBA1C/GMI LEVEL  GT  9.0 PCT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1372","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1372","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  7.0 PCT   an","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  8.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1373","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  8.0 PCT   an","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  8.0 PCT   an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1373","description":"MR GL STS ASMT HBA1C/GMI LVL  GT or equal to  8.0 PCT   an","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS EXTRA WIDE PT  GT 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1036","description":"MULTI-PSTN PT TRNSF SYS EXTRA WIDE PT  GT 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1035","description":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1035","description":"MULTI-PSTN PT TRNSF SYS W/SEAT PT WT  LT or equal to  300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0580F","description":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2150","description":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2150","description":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIMODAL PAIN MANAGEMENT WAS USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2148","description":"MULTIMODAL PAIN MANAGEMENT WAS USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIMODAL PAIN MANAGEMENT WAS USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2148","description":"MULTIMODAL PAIN MANAGEMENT WAS USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0636","description":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0636","description":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7856","description":"MYOTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ASSMT BLD OXY GAS XCHNG EFF and CARDRESP I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0893T","description":"N-INVAS ASSMT BLD OXY GAS XCHNG EFF and CARDRESP I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ASSMT BLD OXY GAS XCHNG EFF and CARDRESP I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0893T","description":"N-INVAS ASSMT BLD OXY GAS XCHNG EFF and CARDRESP I and R","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS AUGMNT ARRHYT ALYS QUAN CAR ARRHYT SIMUL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0897T","description":"N-INVAS AUGMNT ARRHYT ALYS QUAN CAR ARRHYT SIMUL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS AUGMNT ARRHYT ALYS QUAN CAR ARRHYT SIMUL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0897T","description":"N-INVAS AUGMNT ARRHYT ALYS QUAN CAR ARRHYT SIMUL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS DETER AQMBF AUGMNT ALG ALYS DATASET CMR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0899T","description":"N-INVAS DETER AQMBF AUGMNT ALG ALYS DATASET CMR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS DETER AQMBF AUGMNT ALG ALYS DATASET CMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0899T","description":"N-INVAS DETER AQMBF AUGMNT ALG ALYS DATASET CMR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST AQMBF ASSISTIVE ALG ALYS DATASET CMR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0900T","description":"N-INVAS EST AQMBF ASSISTIVE ALG ALYS DATASET CMR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS EST AQMBF ASSISTIVE ALG ALYS DATASET CMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0900T","description":"N-INVAS EST AQMBF ASSISTIVE ALG ALYS DATASET CMR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER ULTRASONIC LARGE VOLUME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0575","description":"NEBULIZER ULTRASONIC LARGE VOLUME","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER ULTRASONIC LARGE VOLUME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0575","description":"NEBULIZER ULTRASONIC LARGE VOLUME","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0570","description":"NEBULIZER WITH COMPRESSOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0570","description":"NEBULIZER WITH COMPRESSOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR AND HEATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0585","description":"NEBULIZER WITH COMPRESSOR AND HEATER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEBULIZER WITH COMPRESSOR AND HEATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0585","description":"NEBULIZER WITH COMPRESSOR AND HEATER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STERILE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4215","description":"NEEDLE STERILE ANY SIZE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STERILE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4215","description":"NEEDLE STERILE ANY SIZE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4210","description":"NEEDLE-FREE INJECTION DEVICE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2402","description":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2402","description":"NEG PRESS WOUND THERAPY ELEC PUMP STATION/PRTBLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4014","description":"NEPHROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4014","description":"NEPHROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO AUTISM QUAN MEAS 6 CTR CARBON METABOLITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0139U","description":"NEURO AUTISM QUAN MEAS 6 CTR CARBON METABOLITES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4015","description":"NEUROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4015","description":"NEUROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4593","description":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4593","description":"NEUROMOD STIM SYS ADJ TO REHAB TX REGIME CTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4594","description":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4594","description":"NEUROMODULT STIM SYS ADJT TO REH TX REGIME MP EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0745","description":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0745","description":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0744","description":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0744","description":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROSTIMULATOR INTEGRATED RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"C1607","description":"NEUROSTIMULATOR INTEGRATED RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROSTIMULATOR INTEGRATED RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1607","description":"NEUROSTIMULATOR INTEGRATED RECHARGEABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.8745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROSURGICAL MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4016","description":"NEUROSURGICAL MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROSURGICAL MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4016","description":"NEUROSURGICAL MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 B1 SUB MATRL B1 and /SFT TISSUE HW FIXJ AGMNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0869T","description":"NJX B1 SUB MATRL B1 and /SFT TISSUE HW FIXJ AGMNTJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 B1 SUB MATRL B1 and /SFT TISSUE HW FIXJ AGMNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0869T","description":"NJX B1 SUB MATRL B1 and /SFT TISSUE HW FIXJ AGMNTJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0707T","description":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0707T","description":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0748T","description":"NJX STEM CLL PRDCT PERIANAL PERIFISTULAR SFT TIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0970","description":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.7595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0970","description":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.7595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.7595,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1213","description":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1213","description":"NO HISTORY SP RESULTS WITH CONFIRMED AF OBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1216","description":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1216","description":"NO SP RSLTS CFM AFO DOC A/O NO SP PERF RSLTS DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J7699","description":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR ENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B9998","description":"NOC FOR ENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR ENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9998","description":"NOC FOR ENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR PARENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9999","description":"NOC FOR PARENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON - SURGICAL SIALOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7979","description":"NON - SURGICAL SIALOLITHOTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON - SURGICAL SIALOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7979","description":"NON - SURGICAL SIALOLITHOTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7871","description":"NON-ARTHROSCOPIC LYSIS AND LAVAGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-DISPOSABLE UNDERPADS ALL SIZES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4553","description":"NON-DISPOSABLE UNDERPADS ALL SIZES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-DISPOSABLE UNDERPADS ALL SIZES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4553","description":"NON-DISPOSABLE UNDERPADS ALL SIZES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCORING NEEDLE OR STYLET W/WO CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4212","description":"NONCORING NEEDLE OR STYLET W/WO CATHETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCORING NEEDLE OR STYLET W/WO CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4212","description":"NONCORING NEEDLE OR STYLET W/WO CATHETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.494,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROSTATE CANCER ESTIMATION MAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0898T","description":"NONINVASIVE PROSTATE CANCER ESTIMATION MAP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROSTATE CANCER ESTIMATION MAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0898T","description":"NONINVASIVE PROSTATE CANCER ESTIMATION MAP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE VAGUS NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0735","description":"NONINVASIVE VAGUS NERVE STIMULATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONOPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9733","description":"NONOPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0683","description":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0683","description":"NONPNEU NONSEQ PERISTALTIC WAVE CMPRSSN PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0680","description":"NONPNEUMATIC COMPRES CONTROL W/SEQ CALIBR GRAD P","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0681","description":"NONPNEUMATIC COMPRESS CONTROL WO CALIBRAT GRAD P","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0677","description":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0677","description":"NONPNEUMATIC SEQUENTIAL COMP GARMENT TRUNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0682","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0678","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL LEG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0679","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT HALF LEG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0373","description":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0373","description":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0371","description":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0371","description":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN AND WDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1294","description":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1294","description":"NORMAL BLOOD PRESSURE READING DOC F/U NOT REQD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4254","description":"NOVAFIX DL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4254","description":"NOVAFIX DL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4208","description":"NOVAFIX PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVAFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4208","description":"NOVAFIX PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT  LT 3M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G1027","description":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT  LT 3M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT  LT 3M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1027","description":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT  LT 3M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G1026","description":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1026","description":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9452","description":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9452","description":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4017","description":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4017","description":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9470","description":"NUTRITIONAL COUNSELING DIETITIAN VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9470","description":"NUTRITIONAL COUNSELING DIETITIAN VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O/P ED/OBS VISITS RSLT IN INPATIENT ADMISSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2176","description":"O/P ED/OBS VISITS RSLT IN INPATIENT ADMISSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O/P ED/OBS VISITS RSLT IN INPATIENT ADMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2176","description":"O/P ED/OBS VISITS RSLT IN INPATIENT ADMISSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0489U","description":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0489U","description":"OB SGNIPT CFDNA SEQ ALYS 1 Plus  TRGT ID PTHGNC VRNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8855","description":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4018","description":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4018","description":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9943","description":"OCCLUSAL GUARD ADJUSTMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9943","description":"OCCLUSAL GUARD ADJUSTMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4773","description":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4773","description":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.849,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9971","description":"ODONTOPLASTY - PER TOOTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9430","description":"OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A2014","description":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0364U","description":"ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0364U","description":"ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4019","description":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4019","description":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CARE NOT IND PT SLF-D/C ERLY  and  SN 1-2 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1115","description":"ONG CARE NOT IND PT SLF-D/C ERLY  and  SN 1-2 VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1109","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1114","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1119","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1124","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1129","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1133","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1109","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1114","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1119","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1124","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1129","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1133","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1147","description":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1147","description":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1148","description":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1148","description":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CAR N I PT D/C AFTR 1-2 V D/T SPC MED EVNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1129","description":"ONGO CAR N I PT D/C AFTR 1-2 V D/T SPC MED EVNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CAR NO IND SLF-D/C ERLY  and  SEEN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1130","description":"ONGO CAR NO IND SLF-D/C ERLY  and  SEEN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CARE NOT IND PT D/C 1-2 VST D/T MED EVT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1119","description":"ONGO CARE NOT IND PT D/C 1-2 VST D/T MED EVT DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CARE NOT IND PT D/C 1-2 VST D/T SPC MD EVNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1134","description":"ONGO CARE NOT IND PT D/C 1-2 VST D/T SPC MD EVNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CARE NOT IND PT SEEN ONLY ONE TO TWO VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1133","description":"ONGO CARE NOT IND PT SEEN ONLY ONE TO TWO VISITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1134","description":"ONGO CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1134","description":"ONGO CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CR NO I PT D/C 1-2 V DT ME DOC TX EPI IMPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1114","description":"ONGO CR NO I PT D/C 1-2 V DT ME DOC TX EPI IMPOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CAR NOT IND PT D/C 1-2 VST D/T MED EVNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1124","description":"ONGOING CAR NOT IND PT D/C 1-2 VST D/T MED EVNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NO INDIC PT SLF-D/C ERLY and 1-2 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1110","description":"ONGOING CARE NO INDIC PT SLF-D/C ERLY and 1-2 VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1146","description":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1146","description":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1113","description":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1113","description":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1108","description":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1108","description":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1128","description":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1128","description":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT IND PT SEEN ONLY 1-2 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1128","description":"ONGOING CARE NOT IND PT SEEN ONLY 1-2 VISITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT IND PT SLF-D/C EARLY  and  1-2 VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1125","description":"ONGOING CARE NOT IND PT SLF-D/C EARLY  and  1-2 VST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT IND PT SLF-D/C EARLY  and  1-2 VSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1120","description":"ONGOING CARE NOT IND PT SLF-D/C EARLY  and  1-2 VSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1123","description":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1123","description":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1118","description":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1118","description":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1132","description":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1132","description":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT SEEN 1-2 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1113","description":"ONGOING CARE NOT INDICATED PT SEEN 1-2 VISITS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1108","description":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1118","description":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1123","description":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1132","description":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1110","description":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1110","description":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D/C EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1125","description":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1125","description":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1130","description":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1130","description":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1115","description":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1115","description":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1120","description":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1120","description":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0817T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0817T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0816T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0816T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7810","description":"OPEN REDUCTION OF DISLOCATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4020","description":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4020","description":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0002","description":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0002","description":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4550F","description":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1027","description":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MEDICATION ADMIN DIRECT OBSERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0033","description":"ORAL MEDICATION ADMIN DIRECT OBSERVATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MEDICATION ADMIN DIRECT OBSERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0033","description":"ORAL MEDICATION ADMIN DIRECT OBSERVATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9156","description":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9156","description":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4931","description":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4931","description":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.523,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3222","description":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3222","description":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3250","description":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3250","description":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.2185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.2185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3217","description":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3217","description":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.4375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.4375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3206","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.9205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3206","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.9205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.9205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3204","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3204","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.2745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.2745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3202","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.9455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3202","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.9455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.9455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3201","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3201","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3257","description":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3257","description":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3230","description":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3230","description":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3216","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":34.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3216","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":34.0275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.0275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3215","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3215","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.6595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.6595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3221","description":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3221","description":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3219","description":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3219","description":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3207","description":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3207","description":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3203","description":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3203","description":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.691,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4021","description":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4021","description":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0749","description":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0749","description":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7945","description":"OSTEOTOMY-BODY OF MANDIBLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.2285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.2285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.2285,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.95,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.95,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0009","description":"OTHER MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4022","description":"OTOLARYNGOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4022","description":"OTOLARYNGOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1323.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.3985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1323.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.6345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.036,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RATE-RESPONSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1785","description":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0031","description":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0031","description":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9988","description":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9988","description":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9992","description":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9992","description":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1309","description":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1309","description":"PALLIATIVE CARE SVCS PRVD PT ANY TM DUR MSMT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN BATH UNIT PORTABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0235","description":"PARAFFIN BATH UNIT PORTABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0791","description":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0791","description":"PARNTRAL INFUS PUMP STATIONRY SINGLE/MULTICHANEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B5200","description":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B5200","description":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL; AMINO ACID 5.5 THRU 7 PCT -HOM MIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"B4172","description":"PARNTRAL NUT SOL; AMINO ACID 5.5 THRU 7 PCT -HOM MIX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.2345,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL; AMINO ACID 5.5 THRU 7 PCT -HOM MIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4172","description":"PARNTRAL NUT SOL; AMINO ACID 5.5 THRU 7 PCT -HOM MIX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.2345,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.2345,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1166","description":"PATH RPT TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1166","description":"PATH RPT TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOGEN TEST FOR PLATELETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9100","description":"PATHOGEN TEST FOR PLATELETS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOGEN TEST FOR PLATELETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9100","description":"PATHOGEN TEST FOR PLATELETS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4023","description":"PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4023","description":"PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0041","description":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0041","description":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1304","description":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1304","description":"PATIENT DID NOT RCV PV/PS VACCINE ON/AFT 19TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2208","description":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2208","description":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV BRF CSEL IF ID UH ALCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2202","description":"PATIENT DID NOT RECV BRF CSEL IF ID UH ALCO USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV BRF CSEL IF ID UH ALCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2202","description":"PATIENT DID NOT RECV BRF CSEL IF ID UH ALCO USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE A CAREGIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2184","description":"PATIENT DOES NOT HAVE A CAREGIVER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE A CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2184","description":"PATIENT DOES NOT HAVE A CAREGIVER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1153","description":"PATIENT DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1153","description":"PATIENT DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1365","description":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1365","description":"PATIENT ENC DUR THE PERF PER HPC SP CODE 17","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1306","description":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1306","description":"PATIENT HAD ANA D/T PV ANY TM DUR/B4 MSMT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COPD SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1218","description":"PATIENT HAS COPD SYMPTOMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS COPD SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1218","description":"PATIENT HAS COPD SYMPTOMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B  AND  INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2200","description":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2200","description":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT BATHROOM OR TOILET NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0625","description":"PATIENT LIFT BATHROOM OR TOILET NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1544.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.5185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT BATHROOM OR TOILET NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0625","description":"PATIENT LIFT BATHROOM OR TOILET NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1544.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.4935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.5185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0635","description":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0635","description":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0640","description":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS/ACCESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0630","description":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0630","description":"PATIENT LIFT HYDRAULIC/MECH INCL SEAT SLING/PAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT MONTH  GT 1 MCP PROVIDER LISTED FOR MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G1025","description":"PATIENT MONTH  GT 1 MCP PROVIDER LISTED FOR MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT MONTH  GT 1 MCP PROVIDER LISTED FOR MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1025","description":"PATIENT MONTH  GT 1 MCP PROVIDER LISTED FOR MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1290","description":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1290","description":"PATIENT NOT ELIGIBLE D/T ACT DX OF HYPERTENSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0039","description":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0039","description":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCR UH ALC USE USING A SYS SCR METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2199","description":"PATIENT NOT SCR UH ALC USE USING A SYS SCR METH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCR UH ALC USE USING A SYS SCR METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2199","description":"PATIENT NOT SCR UH ALC USE USING A SYS SCR METH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1312","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1312","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0036","description":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0036","description":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1305","description":"PATIENT RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1305","description":"PATIENT RCVD PCV/PS VACCINE ON/AFT 19TH BIRTHDAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1231","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1231","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/NR RESULT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1232","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1232","description":"PATIENT RECEIVES HCV ANTIBODY TEST W/REACT RSLT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0034","description":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0034","description":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"G2209","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2209","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1283","description":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1283","description":"PATIENT SCR FOR TOB USE AND ID AS A TOBACCO USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1282","description":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1282","description":"PATIENT SCR TOB USE AND ID AS A TOBACCO NON-USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2197","description":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2197","description":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1259","description":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1259","description":"PATIENT STS DOC W/I 1ST YEAR INITIATING DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1260","description":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1260","description":"PATIENT STS NOT DOC W/I 1ST YEAR INITIATING DLYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1188","description":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1188","description":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1266","description":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1266","description":"PATIENTS ADMITTED TO A SKILLED NURSING FACILITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2191","description":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2191","description":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2189","description":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2189","description":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2190","description":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2190","description":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2187","description":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2187","description":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1317","description":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1317","description":"PATIENTS CN ON CON WITH CSP  and  EXPLICITLY OPT OUT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1254","description":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1254","description":"PATIENTS DECEASED WHEN HU SURVEY REACHED THEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1324","description":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1324","description":"PATIENTS HAD IVTA/PERIOCULAR CORTICOSTEROID INJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1263","description":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1263","description":"PATIENTS IN HS ON INIT OF DLYS DT/DUR MO OF EVAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1354","description":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1354","description":"PATIENTS NO SUI SP INIT REV/UPDATED/REV  and  UPD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ELIGIBLE DUE TO PRE-EXISTING IBD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1182","description":"PATIENTS NOT ELIGIBLE DUE TO PRE-EXISTING IBD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ELIGIBLE DUE TO PRE-EXISTING IBD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1182","description":"PATIENTS NOT ELIGIBLE DUE TO PRE-EXISTING IBD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1363","description":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1363","description":"PATIENTS NOT HAVE F/U ASSMT WI 120 DYS IDX ASSMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1267","description":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1267","description":"PATIENTS NOT OBS ACTIVE STS ON ANY KD/ K/P TWL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 UP TO DATE COVID-19 VACC DEFIN CDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1419","description":"PATIENTS NOT UP TO DATE COVID-19 VACC DEFIN CDC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 UP TO DATE COVID-19 VACC DEFIN CDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1419","description":"PATIENTS NOT UP TO DATE COVID-19 VACC DEFIN CDC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ON IMMUNE CHECKPOINT INHIBITOR THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1180","description":"PATIENTS ON IMMUNE CHECKPOINT INHIBITOR THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ON IMMUNE CHECKPOINT INHIBITOR THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1180","description":"PATIENTS ON IMMUNE CHECKPOINT INHIBITOR THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS RECEIVING RRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1199","description":"PATIENTS RECEIVING RRT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS RECEIVING RRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1199","description":"PATIENTS RECEIVING RRT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1356","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1362","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1356","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1362","description":"PATIENTS WHO DIED DURING THE MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1342","description":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1342","description":"PATIENTS WHO DIED DURING THE PERFORMANCE PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1262","description":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1262","description":"PATIENTS WHO HAD A TPLNT PRI TO INIT OF DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1320","description":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1320","description":"PATIENTS WHO SCREENED POS FOR AL 1 OF 5 HRSNS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1326","description":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1326","description":"PATIENTS WITH A DIAGNOSIS OF HYPOTONY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1328","description":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1328","description":"PATIENTS WITH A DX OF ACUTE VITREOUS HEMORRHAGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A HX HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1151","description":"PATIENTS WITH A HX HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH A HX HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1151","description":"PATIENTS WITH A HX HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1271","description":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1271","description":"PATIENTS WITH DEMENTIA AT ANY TIME PRI TO/DUR MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1295","description":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1295","description":"PATIENTS WITH DX/PAST HX OF TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH HX OF HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1152","description":"PATIENTS WITH HX OF HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH HX OF HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1152","description":"PATIENTS WITH HX OF HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0043","description":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0043","description":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0044","description":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0044","description":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2205","description":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2205","description":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2025","description":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2025","description":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC BREAST BX USING MR GUID PLCMT BREAST LOC DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7502","description":"PC BREAST BX USING MR GUID PLCMT BREAST LOC DEV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8110","description":"PEAK EXPIRATORY FLOW RATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CRIB HOS GRADE FULLY ENC W/WO TOP ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0300","description":"PED CRIB HOS GRADE FULLY ENC W/WO TOP ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT W/MIN BLUNT HD TRAUMA  and  PECARN NOT ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0047","description":"PED PT W/MIN BLUNT HD TRAUMA  and  PECARN NOT ASSESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT W/MIN BLUNT HD TRAUMA  and  PECARN NOT ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0047","description":"PED PT W/MIN BLUNT HD TRAUMA  and  PECARN NOT ASSESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PARTIAL DENTURE FIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6985","description":"PEDIATRIC PARTIAL DENTURE FIXED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4024","description":"PEDIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4024","description":"PEDIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4320","description":"PELLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MET MULTIMODAL PAIN MGMNT WAS NOT USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2150","description":"PERFORM MET MULTIMODAL PAIN MGMNT WAS NOT USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S  and  PREG LOC DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE MET MULTIMODAL PAIN MGMNT WAS USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2148","description":"PERFORMANCE MET MULTIMODAL PAIN MGMNT WAS USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE MET RESIDUAL CHNG SCORE  Equal to  TO OR  GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2152","description":"PERFORMANCE MET RESIDUAL CHNG SCORE  Equal to  TO OR  GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT MET: RESIDUAL CHANGE SCORE  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2167","description":"PERFORMANCE NOT MET: RESIDUAL CHANGE SCORE  LT  0","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC ORTHODONTIC TREATMENT VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D8670","description":"PERIODIC ORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A2016","description":"PERMEADERM B PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61642","description":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61642","description":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61641","description":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61641","description":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST BX USING ST GUID PLCMT BRST LOC DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7501","description":"PERQ BREAST BX USING ST GUID PLCMT BRST LOC DEV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0913T","description":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0913T","description":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL COR ANGIOPLASTY SINGLE MAJOR COR ART/BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7533","description":"PERQ TL COR ANGIOPLASTY SINGLE MAJOR COR ART/BR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONALIZED TARGET DEVELOPMENT ARHFCMRIGTBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0889T","description":"PERSONALIZED TARGET DEVELOPMENT ARHFCMRIGTBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONALIZED TARGET DEVELOPMENT ARHFCMRIGTBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0889T","description":"PERSONALIZED TARGET DEVELOPMENT ARHFCMRIGTBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4564","description":"PESSARY DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY DISPOSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4564","description":"PESSARY DISPOSABLE ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1097","description":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1097","description":"PHEN 10.16  and  KET 2.88 MG/ML OPHT IRR SOL 1 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4025","description":"PHYSICAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4025","description":"PHYSICAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4026","description":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4026","description":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8990","description":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8990","description":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0347T","description":"PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTAZOTE SANDAL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3265","description":"PLASTAZOTE SANDAL EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4027","description":"PLASTIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4027","description":"PLASTIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4870","description":"PLUMBING  AND OR ELEC WORK HOME HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0675","description":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0675","description":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION/DEFL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PODIATRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4028","description":"PODIATRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PODIATRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4028","description":"PODIATRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.8655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.8655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4241","description":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4241","description":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CUSH/PILLOW/WEDGE INCL ALL COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0190","description":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CUSH/PILLOW/WEDGE INCL ALL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0190","description":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTURAL DRAINAGE BOARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0606","description":"POSTURAL DRAINAGE BOARD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTURAL DRAINAGE BOARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0606","description":"POSTURAL DRAINAGE BOARD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PACK BASE FOR USE W/ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0488","description":"POWER PACK BASE FOR USE W/ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7835.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7835.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR USE W/ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0488","description":"POWER PACK BASE FOR USE W/ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7835.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7835.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AIR FLOTATION BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0193","description":"POWERED AIR FLOTATION BED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRESSURE-REDUCING AIR MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0277","description":"POWERED PRESSURE-REDUCING AIR MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED PRESSURE-REDUCING AIR MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0277","description":"POWERED PRESSURE-REDUCING AIR MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VITAMINS 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0197","description":"PRENATAL VITAMINS 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL VITAMINS 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0197","description":"PRENATAL VITAMINS 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8660","description":"PREORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EMBRYO TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89255","description":"PREPJ EMBRYO TR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0735T","description":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0735T","description":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTN DGTL VIS TX SW-ONLY FDA CL PER CRS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9292","description":"PRESCRIPTN DGTL VIS TX SW-ONLY FDA CL PER CRS TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTN DGTL VIS TX SW-ONLY FDA CL PER CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9292","description":"PRESCRIPTN DGTL VIS TX SW-ONLY FDA CL PER CRS TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1540","description":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1540","description":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.625,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99412","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99412","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1368","description":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1368","description":"PREV and TX OF INF D/O INCL HEPC  and  HIV MIPS VAL PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4029","description":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4029","description":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0804T","description":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0804T","description":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0875T","description":"PRGRMG SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0875T","description":"PRGRMG SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR HISTORY OF KNOWN CVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1256","description":"PRIOR HISTORY OF KNOWN CVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR HISTORY OF KNOWN CVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1256","description":"PRIOR HISTORY OF KNOWN CVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2614","description":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2129","description":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2129","description":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0182","description":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0090","description":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0090","description":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0088","description":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0088","description":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0089","description":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0089","description":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OUTPATIENT E/M SERVICE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99417","description":"PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0057","description":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0057","description":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 URINARY SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1815","description":"PROSTHESIS URINARY SPHINCTER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7600","description":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7600","description":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.936,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PS  and  CE U O DVC/APPL NM ELECT STIM TNG MUSC REM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0490","description":"PS  and  CE U O DVC/APPL NM ELECT STIM TNG MUSC REM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3268F","description":"PSA  AND  TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0719T","description":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0719T","description":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOSIS DEPR ANXIETY APATHY  AND  ICD NOT ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2122","description":"PSYCHOSIS DEPR ANXIETY APATHY  AND  ICD NOT ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOSIS DEPRESSION ANXIETY APATHY  AND  ICD ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2121","description":"PSYCHOSIS DEPRESSION ANXIETY APATHY  AND  ICD ASSESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66  and  GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2081","description":"PT 66  and  GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66  and  GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2081","description":"PT 66  and  GT  INST SNP/RESID LTC  GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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  DISP MED DEMENT MP/YR MP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2115","description":"PT 66  and  GT 1 CLM FRLTY  and  DISP MED DEMENT MP/YR MP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CLM FRLTY  and  1 AC IP ADV ILL MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2107","description":"PT 66  and  GT CLM FRLTY  and  1 AC IP ADV ILL MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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   and  1 CLAIM FRAILTY DUR MP  and  DIS DMNT M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2127","description":"PT 66 OR GT   and  1 CLAIM FRAILTY DUR MP  and  DIS DMNT M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1284","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1284","description":"PT 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 Y and  GT 1 CLM FRAILTY  and  D MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2106","description":"PT 66 Y and  GT 1 CLM FRAILTY  and  D MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 Y and  GT 1 CLM FRAILTY  and  D MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2106","description":"PT 66 Y and  GT 1 CLM FRAILTY  and  D MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"G2090","description":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"G2100","description":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2090","description":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2098","description":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2100","description":"PT 66 Y and  GT 1 CLM FRLTY  and  DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 YR AGE/OLDR  and  AL 1 CLM FRAILTY DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2126","description":"PT 66 YR AGE/OLDR  and  AL 1 CLM FRAILTY DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"G2091","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"G2099","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"G2101","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"G2107","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2091","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2101","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2107","description":"PT 66 and  GT  YRS\\FRAILTY DUR MSMT PER  and  AN ADV ILL D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 and  GT 1 CLM FRLTY and 1 AC IP ADV ILL DR/YR PRI MS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2101","description":"PT 66 and  GT 1 CLM FRLTY and 1 AC IP ADV ILL DR/YR PRI MS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CLM FRLTY  and  1 AC IP ADV ILL MP/YR PR MP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2091","description":"PT 66 and  GT CLM FRLTY  and  1 AC IP ADV ILL MP/YR PR MP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 Y CLM FRLTY  and  DISP MED DEMENT MP/YR MP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2115","description":"PT 66-80 Y CLM FRLTY  and  DISP MED DEMENT MP/YR MP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 Y CLM FRLTY  and  DISP MED DEMENT MP/YR MP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2115","description":"PT 66-80 Y CLM FRLTY  and  DISP MED DEMENT MP/YR MP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 YOA AL 1 CLM FR DUR MP  and  DISPENS RX DEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2127","description":"PT 66-80 YOA AL 1 CLM FR DUR MP  and  DISPENS RX DEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 YOA AL 1 CLM FR DUR MP  and  DISPENS RX DEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2127","description":"PT 66-80 YOA AL 1 CLM FR DUR MP  and  DISPENS RX DEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"G2126","description":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2126","description":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YEARS   and   GT  EVID FRAILTY DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2118","description":"PT 81 YEARS   and   GT  EVID FRAILTY DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YOA   and  GT AL 1 CLM/ENC FRAILTY DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2118","description":"PT 81 YOA   and  GT AL 1 CLM/ENC FRAILTY DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YOA   and  GT AL 1 CLM/ENC FRAILTY DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2118","description":"PT 81 YOA   and  GT AL 1 CLM/ENC FRAILTY DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YOA  and  OLDR AL 1 CLM FRAILTY DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2125","description":"PT 81 YOA  and  OLDR AL 1 CLM FRAILTY DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YOA  and  OLDR AL 1 CLM FRAILTY DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2125","description":"PT 81 YOA  and  OLDR AL 1 CLM FRAILTY DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YR AGE  AND  OLDR EVIDENCE FRAILTY DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2125","description":"PT 81 YR AGE  AND  OLDR EVIDENCE FRAILTY DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1347","description":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1347","description":"PT ACHV NET INCR PAM SCR AL 3 PTS IN 4-12 MO PAS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1348","description":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1348","description":"PT ACHV NET INCR PAM SCR AL 6 PTS IN 4-12 MO EXC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGE 66 OR GT  INST SNP/RESID LTC  GT 90 D DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2105","description":"PT AGE 66 OR GT  INST SNP/RESID LTC  GT 90 D DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGE 66 OR GT  INST SNP/RESID LTC  GT 90 D DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2105","description":"PT AGE 66 OR GT  INST SNP/RESID LTC  GT 90 D DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1163","description":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1163","description":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1161","description":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1161","description":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1160","description":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1160","description":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BTW 45 and 85 YO RECV SC DUR PERF PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2204","description":"PT BTW 45 and 85 YO RECV SC DUR PERF PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BTW 45 and 85 YO RECV SC DUR PERF PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2204","description":"PT BTW 45 and 85 YO RECV SC DUR PERF PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN  IND IMAG HEAD: NEW/CHG HA ABV 50 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2188","description":"PT CLIN  IND IMAG HEAD: NEW/CHG HA ABV 50 YOA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN  IND IMAG HEAD: NEW/CHG HA ABV 50 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2188","description":"PT CLIN  IND IMAG HEAD: NEW/CHG HA ABV 50 YOA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2193","description":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2193","description":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE  LT 6 YOA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2195","description":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2195","description":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2192","description":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2192","description":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W/DISAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2194","description":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W/DISAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W/DISAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2194","description":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W/DISAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1252","description":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1252","description":"PT DID NOT CMPL AL 1 OF 4 PT EXP HU SURVEY ITEMS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1170","description":"PT DID NOT REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1170","description":"PT DID NOT REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT REC LEAST 1TD OR 1TDAP BETW 9Y PR END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1173","description":"PT DID NOT REC LEAST 1TD OR 1TDAP BETW 9Y PR END","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT REC LEAST 1TD OR 1TDAP BETW 9Y PR END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1173","description":"PT DID NOT REC LEAST 1TD OR 1TDAP BETW 9Y PR END","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1242","description":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1242","description":"PT DID NOT RESPOND PT FELT PROV UNDRSTD IMP IML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1239","description":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1239","description":"PT DID NOT RSPND TO PT FELT HRD-UNDERSTD BY PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1319","description":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1319","description":"PT DOC CONT W/CSP 1 SCR POS HRSNS I 60 D AFT SCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1162","description":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1162","description":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0035","description":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0035","description":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1350","description":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1350","description":"PT HAD CMPL SUICIDE SP INIT REV/UPD COLLAB CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1251","description":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1251","description":"PT HAD PROXY CMPL ENTR SURV THR BEHALF ANY RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1186","description":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1186","description":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1289","description":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1289","description":"PT ID TOB U NO TC INTERV DUR MSMT PRD/6 MO PRI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1301","description":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1301","description":"PT ID TOB U RECV TC INT DUR MSMT PRD/6 MOS PRI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2196","description":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2196","description":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0639","description":"PT LIFT MOVEABLE ROOM-ROOM W/DISASSMBL and REASSMBL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 D HZ REC VACC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1176","description":"PT NO 2 D HZ REC VACC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 D HZ REC VACC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1176","description":"PT NO 2 D HZ REC VACC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 HZ REC VAC O/A PT 50 BD B4/DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1176","description":"PT NO 2 HZ REC VAC O/A PT 50 BD B4/DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1318","description":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1318","description":"PT NO DOC CTC CSP FOR 1 SCR POS HRSNS I 60 D AFT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1233","description":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1233","description":"PT NO HCV AB/PT RECV HCV AB TST RSLT DOC NO RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0037","description":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0037","description":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1179","description":"PT NOT REC PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1179","description":"PT NOT REC PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1240","description":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1240","description":"PT NOT RP PT FELT PROV PUT MY BST INT 1ST REC MC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1241","description":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1241","description":"PT NOT RP PT FLT PRV SAW ME NOT JUST MED PROB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR FOOD/HOUS INST TRNSP UTL DIF INT SFTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1208","description":"PT NOT SCR FOOD/HOUS INST TRNSP UTL DIF INT SFTY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR FOOD/HOUS INST TRNSP UTL DIF INT SFTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1208","description":"PT NOT SCR FOOD/HOUS INST TRNSP UTL DIF INT SFTY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1272","description":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1272","description":"PT OBS ON ANY K/ K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4553F","description":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1343","description":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1343","description":"PT PAM LVL 4 BL/SL RESP PAM/EXCESS MISS RESP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0052","description":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0052","description":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1334","description":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1334","description":"PT PO ENC EYE AC PVD 2 WKS B4/2 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR  AND  HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9993","description":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9993","description":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1229","description":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1229","description":"PT RCTV HCV AB TST  and  F/U HCV V TST DE HCV VREMIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1228","description":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1228","description":"PT RCTV HCV AB TST and F/U HCV VT HCV VIREMIA HCV TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1230","description":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1230","description":"PT RCTV HCV AB TST and NO F/U HCV VT/RCTV HCV AB TST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCV 2 DS HZ VAC O/A PT 50 BD B4/DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1174","description":"PT RCV 2 DS HZ VAC O/A PT 50 BD B4/DUR MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1174","description":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1174","description":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1234","description":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1234","description":"PT REAC HCV AB TST and F/U HCV V TST NO DE HCV VRMIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1168","description":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1168","description":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC  and END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1171","description":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC  and END","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC  and END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1171","description":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC  and END","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0048","description":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0048","description":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1177","description":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1177","description":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED ADJ TX COURSE CHEMO  and  HER2-TGT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2206","description":"PT RECEIVED ADJ TX COURSE CHEMO  and  HER2-TGT TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED ADJ TX COURSE CHEMO  and  HER2-TGT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2206","description":"PT RECEIVED ADJ TX COURSE CHEMO  and  HER2-TGT TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4554F","description":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV  GT 5 MG DA PRD GT 6 MO  and  IMP/NO CHNGE DZ ACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2113","description":"PT RECV  GT 5 MG DA PRD GT 6 MO  and  IMP/NO CHNGE DZ ACT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV  GT 5 MG DA PRD GT 6 MO  and  IMP/NO CHNGE DZ ACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2113","description":"PT RECV  GT 5 MG DA PRD GT 6 MO  and  IMP/NO CHNGE DZ ACT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV  LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC  LT 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2112","description":"PT RECV  LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC  LT 6","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV  LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC  LT 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2112","description":"PT RECV  LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC  LT 6","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV FIRST-TIME BIOL  and /IMMUNE RESPONSE MOD TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2182","description":"PT RECV FIRST-TIME BIOL  and /IMMUNE RESPONSE MOD TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV FIRST-TIME BIOL  and /IMMUNE RESPONSE MOD TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2182","description":"PT RECV FIRST-TIME BIOL  and /IMMUNE RESPONSE MOD TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0040","description":"PT RECV PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0040","description":"PT RECV PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1253","description":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1253","description":"PT RESP ON PT EXP HU SURV THEY DID NOT RECV CARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1250","description":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1250","description":"PT RP CMPL TRUE PT FELT HRD  and  UNDRSTOOD BY PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1248","description":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1248","description":"PT RP TRE PT FELT PRV SAW PERS NOT JUST MED PROB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1247","description":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1247","description":"PT RP TRUE PT FELT PROV PUT MY BI 1ST REC ABT MC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1249","description":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1249","description":"PT RP TRUE PT FELT PROV UNDRSTD IMP TO ME IMF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1237","description":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1237","description":"PT RSN NO SCR FD INSEC HSG INSTAB TRANS NDS and IP S","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1255","description":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1255","description":"PT RSN VST CLIN NOT PG  and  POS PT NOT EST OB PROV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1245","description":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1245","description":"PT RSP NOT TRUE PT FELT PROV SAW ME NOT MED PROB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1246","description":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1246","description":"PT RSP NOT TRUE PT FELT PROV UNDERSTOOD IMP IML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1244","description":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1244","description":"PT RSP NOT TRUE PT FLT PROV PUT MY BI 1ST REC MC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1243","description":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1243","description":"PT RSP OTH THAN TRUE PT FELT PROV HRD  and  UNDRSTD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0059","description":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0059","description":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0030","description":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0030","description":"PT SC TOB USE RECV TC INV 6 MO PT MSR PD ID TU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1207","description":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1207","description":"PT SCR FOOD/HOUS INST TRNSP UTL DIF INT SAFETY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1310","description":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1310","description":"PT SCR TOB USE  and  RCVD TOB CESSAT INT IF TOB USER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4556F","description":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1322","description":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1322","description":"PT SN I 7 WKS FLW DT INJ and SCR EL IOP DOC INJ EYE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1149","description":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1149","description":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0051","description":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0051","description":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"2022","billing_code":"M1417","description":"PT UP TO DATE COVID-19 VAC DEFIN CDC CUR VAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1165","description":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1165","description":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9994","description":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9994","description":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W DX DEGEN NEURO COND ANY TIME B4/DURING EPIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2151","description":"PT W DX DEGEN NEURO COND ANY TIME B4/DURING EPIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1192","description":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1192","description":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1164","description":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1164","description":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1187","description":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1187","description":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3760F","description":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0050","description":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0050","description":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CG DYAD REF TO APP RES  and  CON TO RES IS CONF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2186","description":"PT/CG DYAD REF TO APP RES  and  CON TO RES IS CONF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CG DYAD REF TO APP RES  and  CON TO RES IS CONF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2186","description":"PT/CG DYAD REF TO APP RES  and  CON TO RES IS CONF","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1292","description":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1292","description":"PTS 66  and  GT  AL 1 CL FRAIL DUR MSMT PRD ADV ILLN DX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9910","description":"PTS 66 OR GT  INSTITUTIONAL SNP/RESID LTC  GT 90 DA MSR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1291","description":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1291","description":"PTS 66 YOA and OLDR 1 CLAIM FRLTY  and  MED FOR DEMENTIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1349","description":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1349","description":"PTS ACHV NET INCR PAM SCR AL 3 PTS IN 4 TO 12 MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1273","description":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1273","description":"PTS ADM SNF I 1 YR DLYS INIT ACC TO CMS-2728 FRM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1274","description":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1274","description":"PTS ADM TO SNF DUR MO EVAL WERE EXCL FRM THAT MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1336","description":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1336","description":"PTS APROP EVAL DUR INI EX  and  RE-EVAL NO NLT 2 WKS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1345","description":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1345","description":"PTS BL PAM SCR  and  2ND SCR WI 4-12 MO BL PAM SCR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1275","description":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1275","description":"PTS DTRM IN HS EXCL FROM MO EVAL  and  REM REPRT PRD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1331","description":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1331","description":"PTS EVAL DUR INI XM and RE-EVAL NLT 8 WKS FRM INI EX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1339","description":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1339","description":"PTS HAD F/U ASMT 30-180 D AFT IDX ASMT POS IMPRV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1338","description":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1338","description":"PTS HAD F/U ASMT 30-180 D AFT IX ASMT NO POS IMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1351","description":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1351","description":"PTS HAD SUI SP INIT REV/UPD and REV and UPD PT and CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1344","description":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1344","description":"PTS NO BL PAM SCR A/O 2ND SCR WI 4-12 MO BL PAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1353","description":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1353","description":"PTS NO CMPL SUI SP INIT REV/UPD COLLAB W/CLIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1332","description":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1332","description":"PTS NO EVAL DUR INI EX A/O NOT RE-EVAL WI 2 WKS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1341","description":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1341","description":"PTS NO F/U ASMT/NO ASMT WI 30-180 D AFT IX ASMT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1346","description":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1346","description":"PTS NO NET INCR PAM SCR AL 6 PTS WI 4 TO 12 MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1358","description":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1358","description":"PTS NO RDUC SID A/O BX F/U ASMT WI 120 D ASSMNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1327","description":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1327","description":"PTS NOT EVAL DUR INI EX A/O NOT RE-EVAL WI 8 WKS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1270","description":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1270","description":"PTS NOT ON K OR K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1325","description":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1325","description":"PTS NOT SEEN RSN DOC BY CLIN FOR PATIENT/MED RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1321","description":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1321","description":"PTS NOT SEEN WI 7 WKS FLW DT OF INJ IOP NOT DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1268","description":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1268","description":"PTS OBS ACT STS K/K/P TWL AO LD EA MO DUR MMT PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1261","description":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1261","description":"PTS ON KIDNEY OR K/P WL PRI TO INITIATN DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1329","description":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1329","description":"PTS PO ENC EYE AC PVD 2 WKS B4/8 WKS AFT INI ENC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1357","description":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1357","description":"PTS RED SI A/O BX F/U ASSEMT WI 120 D IDX ASSMNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1323","description":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1323","description":"PTS SEEN I 7 WKS FLW DT INJ and SCR ELEV IOP and POC DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4030","description":"PULMONOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4030","description":"PULMONOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2120","description":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2120","description":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP FOR WATER CIRCULATING PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0236","description":"PUMP FOR WATER CIRCULATING PAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP FOR WATER CIRCULATING PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0236","description":"PUMP FOR WATER CIRCULATING PAD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0372","description":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0372","description":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0183","description":"PWR PRESS RDUC UNDERLAY/PAD ALTERNATING W/PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0181","description":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0181","description":"PWR PRESSURE REDUCING MATTRESS OVERLY/PAD PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0816","description":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0816","description":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0814","description":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0814","description":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0813","description":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0813","description":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0815","description":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0815","description":"PWR WC GRP 1 STD SLING SEAT PT UP TO  and  Equal to  300 L","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0825","description":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0825","description":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0824","description":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0824","description":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0838","description":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0838","description":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0837","description":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0837","description":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0843","description":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0843","description":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0841","description":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0841","description":"PWR WC GRP 2 MX PWR SLING SEAT PT TO  and  Equal to 300 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0836","description":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0836","description":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0835","description":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0835","description":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0823","description":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0823","description":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO  and  Equal to 300 L","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0842","description":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0842","description":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0821","description":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0821","description":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0820","description":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0820","description":"PWR WC GRP 2 STD PORT SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0822","description":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0822","description":"PWR WC GRP 2 STD SLING SEAT PT TO  and  Equal to 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0839","description":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0839","description":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0826","description":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0826","description":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0840","description":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0840","description":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0864","description":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0864","description":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.331,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.331,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.548,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.548,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.822,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.3155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.822,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.822,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.7085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3827.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3827.9995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3827.9995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3827.9995,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.198,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5500.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5500.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.0105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5500.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5500.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7138.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7138.2025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.8235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7138.2025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7138.2025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Plastazote sandal each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3265","description":"Plastazote sandal each","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Plastazote sandal each","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3265","description":"Plastazote sandal each","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.5895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.5895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0724T","description":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0724T","description":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0723T","description":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0723T","description":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1367","description":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1367","description":"QUALITY CARE FOR THE TX OF ENT D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1369","description":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1369","description":"QUALITY CARE IN MH  and  SUBST USE D/O MIPS VAL PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE NEUROLOGICAL COND MIPS VAL PATHWAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0004","description":"QUALITY CARE NEUROLOGICAL COND MIPS VAL PATHWAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALITY CARE NEUROLOGICAL COND MIPS VAL PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0004","description":"QUALITY CARE NEUROLOGICAL COND MIPS VAL PATHWAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0722T","description":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0722T","description":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0721T","description":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0721T","description":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0649T","description":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0649T","description":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0865T","description":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0865T","description":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0866T","description":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0866T","description":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0777T","description":"R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0777T","description":"R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0472","description":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0472","description":"RAD BACKUP INVASIVE INTERFACE TRACHEOSTOMY TUBE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BACKUP NON INV INTRFC NASAL/FACIAL MASK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0471","description":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BACKUP NON INV INTRFC NASAL/FACIAL MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0471","description":"RAD BACKUP NON INV INTRFC NASAL/FACIAL MASK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONCOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4031","description":"RADIATION ONCOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION ONCOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4031","description":"RADIATION ONCOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV COMPLEX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV SIMPLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV  Equal to  GT  COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY 1 MEV  Equal to  GT  COMPLEX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV PLUS  SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY 1 MEV PLUS  SIMPLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TREATMENT DELIVERY LEVEL 2","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77407","description":"RADIATION TREATMENT DELIVERY LEVEL 2","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77412","description":"RADIATION TREATMENT DELIVERY LEVEL 3","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TX DELIVERY  GT or equal to 1 MEV INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TX DELIVERY  GT or equal to 1 MEV INTERMEDIATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TX DELIVERY 1 MEV  Equal to  GT  INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77407","description":"RADIATION TX DELIVERY 1 MEV  Equal to  GT  INTERMEDIATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q3001","description":"RADIOELEMENTS FOR BRACHYTHERAPY ANY TYPE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4641","description":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAISED TOILET SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0244","description":"RAISED TOILET SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.8325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAISED TOILET SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0244","description":"RAISED TOILET SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.8325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.8325,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMD F/U INTERVAL REPEAT CLN 10 YEARS DOC CLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1377","description":"RCMD F/U INTERVAL REPEAT CLN 10 YEARS DOC CLN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMD F/U INTERVAL REPEAT CLN 10 YEARS DOC CLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1377","description":"RCMD F/U INTERVAL REPEAT CLN 10 YEARS DOC CLN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT  YRS DOCD RPRT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1269","description":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1269","description":"RECEIVING ESRD MCP DLYS SRVC BY PROV LD REP MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4932","description":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4932","description":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.523,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0042","description":"REFERRAL PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0042","description":"REFERRAL PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4315","description":"REGENELINK AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4255","description":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4255","description":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SYS INTERACT INTF PROV ACTV ASST RHB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0739","description":"REHAB SYS INTERACT INTF PROV ACTV ASST RHB TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1370","description":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1370","description":"REHABILITATIVE SPT FOR MSK CARE MIPS VALUE PATH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0862T","description":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0862T","description":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0863T","description":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0863T","description":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0812T","description":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0812T","description":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0811T","description":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0811T","description":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0733T","description":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0733T","description":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0734T","description":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0734T","description":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8210","description":"REMOVABLE APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D8681","description":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8681","description":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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  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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0726T","description":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0726T","description":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7240","description":"REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0874T","description":"REMOVAL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0874T","description":"REMOVAL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0861T","description":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0861T","description":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D8695","description":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8695","description":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4321","description":"RENOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR AND 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4210","description":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.3645,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4210","description":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.3645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.3645,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0607","description":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0607","description":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4002","description":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.8125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4002","description":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.8125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.8125,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PAD INFRARED HEATING PAD SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4639","description":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4639","description":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SUBCUTANEOUS PERITONEAL ASCITES PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0871T","description":"REPLACEMENT SUBCUTANEOUS PERITONEAL ASCITES PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBCUTANEOUS PERITONEAL ASCITES PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0871T","description":"REPLACEMENT SUBCUTANEOUS PERITONEAL ASCITES PUMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7510","description":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7510","description":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.7925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RES SC NECK IMPR NO MSR PT NOT CMPL NFS PROM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2210","description":"RES SC NECK IMPR NO MSR PT NOT CMPL NFS PROM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RES SC NECK IMPR NO MSR PT NOT CMPL NFS PROM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2210","description":"RES SC NECK IMPR NO MSR PT NOT CMPL NFS PROM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RES SCORE NECK IMPR SUC CALC  and  SCORE WAS  LT  0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2167","description":"RES SCORE NECK IMPR SUC CALC  and  SCORE WAS  LT  0","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RES SCORE NECK IMPR SUC CALC  and  SCORE WAS  LT  0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2167","description":"RES SCORE NECK IMPR SUC CALC  and  SCORE WAS  LT  0","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESID SC NECK IMPR SUC CALC  and  SCORE WAS  Equal to  0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2152","description":"RESID SC NECK IMPR SUC CALC  and  SCORE WAS  Equal to  0 O","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESID SC NECK IMPR SUC CALC  and  SCORE WAS  Equal to  0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2152","description":"RESID SC NECK IMPR SUC CALC  and  SCORE WAS  Equal to  0 O","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU  and  SC  Equal to 0 O","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACK-UP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0471","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACK-UP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACKUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0472","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/BACKUP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0470","description":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W/O BACKU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4192","description":"RESTORIGIN 1 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4192","description":"RESTORIGIN 1 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRAINT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0710","description":"RESTRAINT ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRAINT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0710","description":"RESTRAINT ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRATA MINIMATRIX 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2026","description":"RESTRATA MINIMATRIX 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRATA MINIMATRIX 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2026","description":"RESTRATA MINIMATRIX 5 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESUSCITATION BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8999","description":"RESUSCITATION BAG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.8495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESUSCITATION BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8999","description":"RESUSCITATION BAG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.8495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.8495,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0873T","description":"REVJ SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0873T","description":"REVJ SUBQ IMPL PERITONEAL ASCITES PUMP SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0818T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0818T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0819T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0819T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4032","description":"RHEUMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4032","description":"RHEUMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RIMPLTJ ANT SGM IO NBIODGRD RX ELUT IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0661T","description":"RMVL and RIMPLTJ ANT SGM IO NBIODGRD RX ELUT IMPLT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RIMPLTJ ANT SGM IO NBIODGRD RX ELUT IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0661T","description":"RMVL and RIMPLTJ ANT SGM IO NBIODGRD RX ELUT IMPLT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0727T","description":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0727T","description":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROCKING BED WITH OR WITHOUT SIDE RAILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0462","description":"ROCKING BED WITH OR WITHOUT SIDE RAILS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROCKING BED WITH OR WITHOUT SIDE RAILS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0462","description":"ROCKING BED WITH OR WITHOUT SIDE RAILS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1031","description":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1031","description":"ROLLABOUT CHAIR ANY and ALL TYPES W/CASTERS 5 IN/GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S0390","description":"ROUTINE FOOT CARE; PER VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT INDWELLING BLADDER  and  PERITONEAL CATHETERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0872T","description":"RPLCMT INDWELLING BLADDER  and  PERITONEAL CATHETERS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT INDWELLING BLADDER  and  PERITONEAL CATHETERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0872T","description":"RPLCMT INDWELLING BLADDER  and  PERITONEAL CATHETERS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC  and  SCORE  Equal to 0","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSN NOT ADM ADJ TX COURSE INCL CHEMO  and  HER2-TT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2207","description":"RSN NOT ADM ADJ TX COURSE INCL CHEMO  and  HER2-TT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSN NOT ADM ADJ TX COURSE INCL CHEMO  and  HER2-TT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2207","description":"RSN NOT ADM ADJ TX COURSE INCL CHEMO  and  HER2-TT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90679","description":"RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTA POLARIZE SCAN OC SCR W/ONSITE AUTO RSLT BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0469T","description":"RTA POLARIZE SCAN OC SCR W/ONSITE AUTO RSLT BI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTA POLARIZE SCAN OC SCR W/ONSITE AUTO RSLT BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0469T","description":"RTA POLARIZE SCAN OC SCR W/ONSITE AUTO RSLT BI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98978","description":"RTM DEV SPLY DATA CBT 16-30 DAYS IN 30 D PD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90681","description":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90681","description":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACRAL NERVE STIMULATION TEST LEAD EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4290","description":"SACRAL NERVE STIMULATION TEST LEAD EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACRAL NERVE STIMULATION TEST LEAD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4290","description":"SACRAL NERVE STIMULATION TEST LEAD EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.734,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.074,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4319","description":"SANOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOPELLIS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4308","description":"SANOPELLIS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SANOPELLIS PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4308","description":"SANOPELLIS PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCALE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1639","description":"SCALE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1639","description":"SCALE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.4125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.1055,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9900","description":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9900","description":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1285","description":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1285","description":"SCR DX FILM DGTL BRST TS MMG RSLT NO DOC RSN NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1302","description":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1302","description":"SCR DX FILM DGTL/DGTL BRST TS MAMMO RSLT DOC and REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9899","description":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC  and  REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERF  AND  POS  AND  PROVISION RECOMMENDATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9919","description":"SCREENING PERF  AND  POS  AND  PROVISION RECOMMENDATIONS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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 PULMONARY LIQUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2615","description":"SEALANT PULMONARY LIQUID","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0172","description":"SEAT LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":864.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0172","description":"SEAT LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":864.1295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.1295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEU APPL USE W/PNEU COMP INTG HEAD NCK  and  CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0659","description":"SEG PNEU APPL USE W/PNEU COMP INTG HEAD NCK  and  CT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0657","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0657","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS CHEST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0656","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0656","description":"SEG PNEUMAT APPLIANCE USE W/PNEUMAT COMPRS TRUNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEGMENTAL PNEUMATIC COMP 2 FULL ARMS  and  CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0658","description":"SEGMENTAL PNEUMATIC COMP 2 FULL ARMS  and  CHEST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1110","description":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1110","description":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1100","description":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1100","description":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2020","description":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2020","description":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2169","description":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2169","description":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2168","description":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2168","description":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0316","description":"SFTY ENCLOS FRME/CANOPY USE W/HOSP BED ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX 1ST TNDSC DILAT RX BALO CATH STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0886T","description":"SGMDSC FLX 1ST TNDSC DILAT RX BALO CATH STRIX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX 1ST TNDSC DILAT RX BALO CATH STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0886T","description":"SGMDSC FLX 1ST TNDSC DILAT RX BALO CATH STRIX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3677","description":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3677","description":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.315,"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":null,"billing_code":"A4740","description":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE  EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLAY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4329","description":"SINGLAY PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4033","description":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4033","description":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0620","description":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0620","description":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6250","description":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6250","description":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4600","description":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4600","description":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMMG CNCRNT APPL IMU SNR MEAS ROM POST GAIT MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0778T","description":"SMMG CNCRNT APPL IMU SNR MEAS ROM POST GAIT MUSC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMMG CNCRNT APPL IMU SNR MEAS ROM POST GAIT MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0778T","description":"SMMG CNCRNT APPL IMU SNR MEAS ROM POST GAIT MUSC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8004","description":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8004","description":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2001","description":"SP HOM MDL PTBL/STNRY ELEC ANY TYPE USE EXT MS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4627","description":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.033,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4627","description":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.033,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2511","description":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2511","description":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.3885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.3885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4034","description":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4034","description":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E3000","description":"SPEECH VOL MODULAT SYS ANY TYPE INC ALL COMP and ACC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.33,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9284","description":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.6655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9284","description":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.6655,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1214","description":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1214","description":"SPIROMETRY RESULTS WITH CFM AF OBS DOC  and  REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PREFABRICATED DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8450","description":"SPLINT PREFABRICATED DIGIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8450","description":"SPLINT PREFABRICATED DIGIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8452","description":"SPLINT PREFABRICATED ELBOW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8452","description":"SPLINT PREFABRICATED ELBOW","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED WRIST OR ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8451","description":"SPLINT PREFABRICATED WRIST OR ANKLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":10.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.4325,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED WRIST OR ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8451","description":"SPLINT PREFABRICATED WRIST OR ANKLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":10.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.4325,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.1565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.1565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.1565,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.433,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1195","description":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1195","description":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD HEMI WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0002","description":"STANDARD HEMI WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD HEMI WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0002","description":"STANDARD HEMI WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0001","description":"STANDARD WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0010","description":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0010","description":"STANDARD-WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0642","description":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2169.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0642","description":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2169.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0641","description":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1682.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.5185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0641","description":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1682.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1682.5185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0638","description":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1496.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1686.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0638","description":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1496.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1496.5015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1686.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.945,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1841","description":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1841","description":"STATIC PROG STR/PT ACTUAL SER STR SHOULDER DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1816","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1816","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ANKLE DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1801","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1801","description":"STATIC PROG STR/PT ACTUAL SERIAL STR ELBOW DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1818","description":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1818","description":"STATIC PROG STR/PT ACTUAL SERIAL STR FOREARM DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1811","description":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1811","description":"STATIC PROG STR/PT ACTUAL SERIAL STR KNEE DVC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1816","description":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1801","description":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH FINGER DVC EXTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1832","description":"STATIC PROGRESSIVE STRETCH FINGER DVC EXTENSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH FINGER DVC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1832","description":"STATIC PROGRESSIVE STRETCH FINGER DVC EXTENSION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1818","description":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH KNEE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1811","description":"STATIC PROGRESSIVE STRETCH KNEE DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1841","description":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH TOE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1831","description":"STATIC PROGRESSIVE STRETCH TOE DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH TOE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1831","description":"STATIC PROGRESSIVE STRETCH TOE DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1806","description":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1806","description":"STATIC PROGRESSIVE STRETCH WRIST DEVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4002F","description":"STATIN THERAPY RX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1130","description":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1130","description":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.5095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0011","description":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0011","description":"STD-WT FRME MOTRIZD/PWR WHLCHAIR W/PROG CNTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1128F","description":"SUBS EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1360","description":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1360","description":"SUICIDAL IDEATION  and /OR BEHAV SX BASED ON C-SSRS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1352","description":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1352","description":"SUICIDAL IDEATION A/O BX SX BSD ON C-SSRS/EQ AX","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1355","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1361","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1355","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1361","description":"SUICIDE RISK BASED ON CLIN EVAL/CLIN-RATED TOOL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR HOME DELIVERY OF INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8415","description":"SUPPLIES FOR HOME DELIVERY OF INFANT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR HOME DELIVERY OF INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8415","description":"SUPPLIES FOR HOME DELIVERY OF INFANT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4211","description":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4211","description":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.326,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLY NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T5999","description":"SUPPLY NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACTOR OR NUDYN PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4233","description":"SURFACTOR OR NUDYN PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACTOR OR NUDYN PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4233","description":"SURFACTOR OR NUDYN PER 0.5 CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1193","description":"SURG PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1193","description":"SURG PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2900","description":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BOOT EACH CHILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3209","description":"SURGICAL BOOT EACH CHILD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3208","description":"SURGICAL BOOT EACH INFANT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH JUNIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3211","description":"SURGICAL BOOT EACH JUNIOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.036,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":18.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.863,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":18.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.863,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL MASK PER 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4928","description":"SURGICAL MASK PER 20","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL MASK PER 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4928","description":"SURGICAL MASK PER 20","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.704,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.7305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.7305,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.5255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.5255,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT-DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4219","description":"SURGIGRAFT-DUAL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT-DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4219","description":"SURGIGRAFT-DUAL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4209","description":"SURGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4209","description":"SURGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4269","description":"SURGRAFT XT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7910","description":"SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98015","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98015","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98011","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98011","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98010","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98010","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98008","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98008","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98001","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98001","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98007","description":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98007","description":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98003","description":"SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98003","description":"SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7854","description":"SYNOVECTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.6965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYST BP  LT  140 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3076F","description":"SYST BP  LT  140 MM HG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical boot each child","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3209","description":"Surgical boot each child","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical boot each child","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3209","description":"Surgical boot each child","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.0445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.0445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical boot each infant","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3208","description":"Surgical boot each infant","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical boot each infant","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3208","description":"Surgical boot each infant","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.4645,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical boot each junior","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3211","description":"Surgical boot each junior","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical boot each junior","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3211","description":"Surgical boot each junior","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2216","description":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2216","description":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0187","description":"TAMOXIFEN CITRATE ORAL 10 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1003","description":"TB SCR  AND  RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 AURICULAR NSTIMJ SETUP CALIBRATION  and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0783T","description":"TC AURICULAR NSTIMJ SETUP CALIBRATION  and PT EDUCAJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC AURICULAR NSTIMJ SETUP CALIBRATION  and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0783T","description":"TC AURICULAR NSTIMJ SETUP CALIBRATION  and PT EDUCAJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0766T","description":"TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN 1ST NERVE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-99M GRAPHITE CRUCIBLE 1 CRUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9506","description":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-99M GRAPHITE CRUCIBLE 1 CRUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9506","description":"TC-99M GRAPHITE CRUCIBLE 1 CRUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0645T","description":"TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0645T","description":"TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0823T","description":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0823T","description":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0796T","description":"TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0796T","description":"TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0797T","description":"TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0797T","description":"TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0795T","description":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0795T","description":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0824T","description":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0824T","description":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 2CHMBR LDLS PM R ATR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0799T","description":"TCAT RMVL PERM 2CHMBR LDLS PM R ATR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 2CHMBR LDLS PM R ATR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0799T","description":"TCAT RMVL PERM 2CHMBR LDLS PM R ATR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 2CHMBR LDLS PM R VENTR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0800T","description":"TCAT RMVL PERM 2CHMBR LDLS PM R VENTR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 2CHMBR LDLS PM R VENTR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0800T","description":"TCAT RMVL PERM 2CHMBR LDLS PM R VENTR PM COMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0798T","description":"TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0798T","description":"TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0825T","description":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0825T","description":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0801T","description":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM 2CHMBR SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0801T","description":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM 2CHMBR SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0802T","description":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0802T","description":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PRM 2CHMBR LDLS PM R VNTR CMPNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0803T","description":"TCAT RMVL and RPLCMT PRM 2CHMBR LDLS PM R VNTR CMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PRM 2CHMBR LDLS PM R VNTR CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0803T","description":"TCAT RMVL and RPLCMT PRM 2CHMBR LDLS PM R VNTR CMPNT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9503","description":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9503","description":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TETROFOSMIN DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9502","description":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TETROFOSMIN DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9502","description":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9995","description":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9995","description":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9996","description":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9996","description":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0462","description":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0462","description":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.694,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":null,"billing_code":"90389","description":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9505","description":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9505","description":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED EMBRYO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89352","description":"THAWING CRYOPRESERVED EMBRYO","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1106","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1111","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1116","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1121","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1126","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1135","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1106","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1111","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1116","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1121","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1126","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1135","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AGENT URINARY CATHETER IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4321","description":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4321","description":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.382,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INDUCTION OF INTRA-BRAIN HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0776T","description":"THERAPEUTIC INDUCTION OF INTRA-BRAIN HYPOTHERMIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INDUCTION OF INTRA-BRAIN HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0776T","description":"THERAPEUTIC INDUCTION OF INTRA-BRAIN HYPOTHERMIA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0203","description":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4035","description":"THORACIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4035","description":"THORACIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0452","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.4765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0452","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.4765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.4765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0029","description":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0029","description":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1313","description":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1313","description":"TOBACCO SCR NOT PERF/TOBACCO CESSAT INT NOT PRVD","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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, NON-SMOKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1001F","description":"TOBACCO USE, NON-SMOKING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","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":"2022","billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOILET RAIL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0243","description":"TOILET RAIL EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOILET RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0243","description":"TOILET RAIL EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.975,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9521","description":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4330","description":"TOTAL PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOURNIQUET FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4929","description":"TOURNIQUET FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOURNIQUET FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4929","description":"TOURNIQUET FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":0.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":0.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0714T","description":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0714T","description":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL GT or equal to 50","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0867T","description":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL GT or equal to 50","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL GT or equal to 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0867T","description":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL GT or equal to 50","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SHOWER PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7523","description":"TRACHEOSTOMY SHOWER PROTECTOR EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SHOWER PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7523","description":"TRACHEOSTOMY SHOWER PROTECTOR EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0849","description":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0849","description":"TRACTION EQP CERV FREESTAND STAND/FRME PNEUMATIC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0643T","description":"TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0643T","description":"TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0762","description":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0762","description":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0736","description":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0736","description":"TRANSCUTANEOUS TIBIAL NERVE STIMULATOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0733","description":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0733","description":"TRANSCUTN ELEC NRV STIM ELEC STIM TRIGEMINAL NRV","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1575","description":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1575","description":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0247","description":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0247","description":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.944,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER OF CARE CHECKLIST USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0583F","description":"TRANSFER OF CARE CHECKLIST USED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TUB RAIL ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0246","description":"TRANSFER TUB RAIL ATTACHMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.06,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORT CHAIR PEDIATRIC SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1037","description":"TRANSPORT CHAIR PEDIATRIC SIZE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORT CHAIR PEDIATRIC SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1037","description":"TRANSPORT CHAIR PEDIATRIC SIZE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORTATION 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0912","description":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0912","description":"TRAPEZ BAR HEVY DUTY PT WT  GT  250 LBS FREE STAND","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0911","description":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0911","description":"TRAPEZ BAR HEVY DUTY PT WT  GT 250 LBS BED GRAB BAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0910","description":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0910","description":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W/GRAB BAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0940","description":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0940","description":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRI-MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4344","description":"TRI-MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0248","description":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0248","description":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.528,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38208","description":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38208","description":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38215","description":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38215","description":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38210","description":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38210","description":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38214","description":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38214","description":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38213","description":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38213","description":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38212","description":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38212","description":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38211","description":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38211","description":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1039","description":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1039","description":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP GT 300 LB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1038","description":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1038","description":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO AND INCL 300 LBS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0646T","description":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0646T","description":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUB STOOL OR BENCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0245","description":"TUB STOOL OR BENCH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.9555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.0225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.0225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.0225,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4541F","description":"TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90690","description":"TYPHOID VACCINE LIVE ORAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90691","description":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90691","description":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 tub rail attachment","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0246","description":"Transfer tub rail attachment","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfer tub rail attachment","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0246","description":"Transfer tub rail attachment","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tub stool or bench","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0245","description":"Tub stool or bench","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.9555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tub stool or bench","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0245","description":"Tub stool or bench","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.9555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.9555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UE REHAB SYS PROV AC ASST TO FACL MUSCLE RE-EDU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0738","description":"UE REHAB SYS PROV AC ASST TO FACL MUSCLE RE-EDU","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0574","description":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0574","description":"ULTRASONIC/ELEC AROSL GEN W/SMALL VOLUME NEB","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3591","description":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3591","description":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PX THER RADIOL CLINICAL TX PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77299","description":"UNLIS PX THER RADIOL CLINICAL TX PLANNING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78499","description":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78499","description":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 RADIOGRAPHIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76499","description":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 RADIOGRAPHIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76499","description":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78099","description":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78099","description":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FLUOROSCOPIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76496","description":"UNLISTED FLUOROSCOPIC PROCEDURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FLUOROSCOPIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76496","description":"UNLISTED FLUOROSCOPIC PROCEDURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43659","description":"UNLISTED LAPAROSCOPIC PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43659","description":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43659","description":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAGNETIC RESONANCE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76498","description":"UNLISTED MAGNETIC RESONANCE PROCEDURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAGNETIC RESONANCE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76498","description":"UNLISTED MAGNETIC RESONANCE PROCEDURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78999","description":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78999","description":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PREVENTIVE MEDICINE SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99429","description":"UNLISTED PREVENTIVE MEDICINE SERVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PREVENTIVE MEDICINE SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99429","description":"UNLISTED PREVENTIVE MEDICINE SERVICE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8499","description":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77799","description":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77799","description":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41899","description":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41899","description":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77299","description":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77299","description":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 PROCEDURE SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97139","description":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 PROCEDURE SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97139","description":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED URINALYSIS PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81099","description":"UNLISTED URINALYSIS PROCEDURE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"ASC","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"ASC","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URGENT CARE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4036","description":"URGENT CARE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URGENT CARE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4036","description":"URGENT CARE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP PT COMORBID COND DUR 12 MO PRI/ON EP DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2173","description":"URI EP PT COMORBID COND DUR 12 MO PRI/ON EP DATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP PT COMORBID COND DUR 12 MO PRI/ON EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2173","description":"URI EP PT COMORBID COND DUR 12 MO PRI/ON EP DATE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EPI PT ANTIBIOTIC IN 30 DAYS PRIOR EPISOD DT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2174","description":"URI EPI PT ANTIBIOTIC IN 30 DAYS PRIOR EPISOD DT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EPI PT ANTIBIOTIC IN 30 DAYS PRIOR EPISOD DT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2174","description":"URI EPI PT ANTIBIOTIC IN 30 DAYS PRIOR EPISOD DT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TEST OR REAGENT STRIPS OR TABLETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4250","description":"URINE TEST OR REAGENT STRIPS OR TABLETS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE TEST OR REAGENT STRIPS OR TABLETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4250","description":"URINE TEST OR REAGENT STRIPS OR TABLETS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4037","description":"UROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4037","description":"UROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0815T","description":"US REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0815T","description":"US REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINE QIRV MRNA 30 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90637","description":"VACCINE QIRV MRNA 30 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINE QIRV MRNA 30 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90637","description":"VACCINE QIRV MRNA 30 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINE QIRV MRNA 60 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90638","description":"VACCINE QIRV MRNA 60 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINE QIRV MRNA 60 MCG/0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90638","description":"VACCINE QIRV MRNA 60 MCG/0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90622","description":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90622","description":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0005","description":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0005","description":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVE FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4288","description":"VALVE FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVE FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4288","description":"VALVE FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G4038","description":"VASCULAR SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4038","description":"VASCULAR SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4918","description":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0725T","description":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0725T","description":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIA MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4309","description":"VIA MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIA MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4309","description":"VIA MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CBT INCLUDING PP TX SOFTWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1905","description":"VIRTUAL REALITY CBT INCLUDING PP TX SOFTWARE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_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":"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0773T","description":"VR PX DISSOC SVC OTH PHYS/QHP 1ST 15 MIN 5YR OR GT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1032","description":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1032","description":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1033","description":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1033","description":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1034","description":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1034","description":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0144","description":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0144","description":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W/POST SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0149","description":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0149","description":"WALKER HEAVY DUTY WHEELED RIGID/FOLD ANY TYPE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0140","description":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0140","description":"WALKER W/TRUNK SUPPORT ADJUSTBLE/FIX HT ANY TYPE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESSURE MATTRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0187","description":"WATER PRESSURE MATTRESS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0669","description":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.8075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0669","description":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.8075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.8075,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1012","description":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1012","description":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.3625,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.3625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.3625,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 W/DETACHABLE ARMS ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1224","description":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1224","description":"WHEELCHAIR W/DETACHABLE ARMS ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1223","description":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1223","description":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1222","description":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1222","description":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1221","description":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1221","description":"WHEELCHAIR WITH FIXED ARM FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL PORTABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1300","description":"WHIRLPOOL PORTABLE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1150","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1150","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1140","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1140","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1160","description":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1160","description":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1093","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1093","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1092","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1092","description":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIG ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9282","description":"WIG ANY TYPE EACH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0049","description":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0049","description":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9272","description":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9272","description":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1280","description":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1280","description":"WOMEN WHO HAD A BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FILLER GEL/PASTE PER FL OZ NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6261","description":"WOUND FILLER GEL/PASTE PER FL OZ NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FILLER GEL/PASTE PER FL OZ NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6261","description":"WOUND FILLER GEL/PASTE PER FL OZ NOS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 pressure mattress","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Whirlpool portable","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1300","description":"Whirlpool portable","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Whirlpool portable","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1300","description":"Whirlpool portable","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0737T","description":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0737T","description":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENON XE-129 HYPERPOLARIZED GAS DIAG PER ST DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9610","description":"XENON XE-129 HYPERPOLARIZED GAS DIAG PER ST DOSE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENON XE-129 HYPERPOLARIZED GAS DIAG PER ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9610","description":"XENON XE-129 HYPERPOLARIZED GAS DIAG PER ST DOSE","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0858T","description":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0858T","description":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YELLOW FEVER VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90717","description":"YELLOW FEVER VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YELLOW FEVER VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90717","description":"YELLOW FEVER VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0104","description":"ZIDOVUDINE ORAL 100 MG","negotiated_rates":[{"provider_references":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216658],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}